Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $251.19 / $275.42	Facility		$97.72	$251.19	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $186.21	Professional		$69.18	$93.33	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $165.96	Facility		$87.10	$87.10	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $138.04	Professional		$72.44	$87.10	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $204.17	Facility		$112.20	$147.91	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $181.97	Facility		$64.57	$100.00	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $162.18	Professional		$93.33	$117.49	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $154.88	Facility		$87.10	$120.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $162.18	Professional		$75.86	$100.00	$162.18