Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $144.16	Professional		$142.38	$142.38	$144.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $77.05 / $142.38	Professional		$23.73	$77.05	$142.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $84.57 / $128.51	Facility		$82.91	$84.57	$128.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $82.91 / $99.49	Professional		$78.86	$82.91	$99.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $200.62	Professional		$161.79	$161.79	$200.62