Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $90.98 / $106.21	Facility		$90.98	$90.98	$106.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $67.42 / $90.98	Professional		$57.18	$67.42	$90.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $53.44 / $103.14	Facility		$53.44	$53.44	$103.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $53.44 / $73.73	Professional		$45.61	$53.44	$73.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $116.83 / $159.32	Facility		$80.09	$116.83	$159.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $116.83 / $143.38	Professional		$90.28	$116.83	$143.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $108.95	Professional		$45.55	$45.55	$108.95
United Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $51.29 / $71.83	Professional		$31.56	$51.29	$71.83