Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $127.55 / $160.71	Professional		$127.54	$127.55	$160.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $144.41 / $144.41	Facility		$138.63	$144.41	$144.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $122.46 / $122.46	Professional		$104.09	$122.46	$122.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $60.23 / $109.50	Facility		$54.75	$60.23	$109.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $57.49 / $84.32	Professional		$54.75	$57.49	$84.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $134.47 / $134.47	Facility		$121.82	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $134.47 / $173.58	Professional		$109.81	$134.47	$173.58
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $141.66	Professional		$120.06	$134.99	$141.66