Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $241.00 / $272.07	Facility		$80.73	$241.00	$272.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $85.68 / $100.29	Professional		$77.69	$85.68	$100.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $42.85	Facility		$22.20	$22.20	$42.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $54.65 / $81.25	Professional		$20.45	$54.65	$81.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $95.16 / $111.02	Facility		$79.30	$95.16	$111.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $91.20 / $107.06	Professional		$79.30	$91.20	$107.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $72.00 / $295.95	Facility		$65.00	$72.00	$295.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $92.43 / $130.02	Professional		$33.72	$92.43	$130.02
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $87.37 / $152.15	Professional		$71.31	$87.37	$152.15