Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $118.53 / $129.12	Facility		$118.53	$118.53	$129.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $120.72 / $137.46	Professional		$107.62	$120.72	$137.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $425.00 / $425.00	Facility		$78.88	$425.00	$425.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $107.73 / $138.01	Professional		$70.59	$107.73	$138.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $78.72 / $154.00	Facility		$58.31	$78.72	$154.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $75.19 / $148.08	Professional		$58.31	$75.19	$148.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $138.01 / $267.77	Professional		$86.67	$138.01	$267.77
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $131.07 / $221.42	Professional		$90.97	$131.07	$221.42