Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $98.03 / $118.41	Facility		$98.03	$98.03	$118.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $101.20 / $119.80	Professional		$95.24	$101.20	$119.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $34.93	Facility		$18.10	$18.10	$34.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $27.09 / $71.50	Professional		$15.38	$27.09	$71.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $115.52 / $134.78	Facility		$85.92	$115.52	$134.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $108.70 / $134.78	Professional		$96.27	$108.70	$134.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $92.00	Facility		$65.00	$70.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $96.69 / $170.97	Professional		$66.88	$96.69	$170.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $106.01 / $186.95	Professional		$76.69	$106.01	$186.95