Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $77.59 / $92.09	Facility		$68.47	$77.59	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $77.59 / $113.24	Professional		$62.52	$77.59	$113.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $20.57 / $20.57	Professional	25	$20.57	$20.57	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $76.12 / $94.87	Professional		$65.28	$76.12	$94.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $122.83 / $158.61	Facility		$98.30	$122.83	$158.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $118.96 / $163.56	Professional		$99.13	$118.96	$163.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $122.08 / $122.08	Facility		$122.08	$122.08	$122.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $153.99 / $502.05	Professional		$84.14	$153.99	$502.05
United Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $80.78 / $129.29	Professional		$70.89	$80.78	$129.29