Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.13 / $114.13 / $114.13	Facility		$114.13	$114.13	$114.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $102.50 / $122.83	Professional		$77.40	$102.50	$122.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.82 / $153.87 / $171.92	Facility		$135.82	$153.87	$171.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $127.78 / $176.33	Professional		$107.31	$127.78	$176.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $128.94 / $223.50	Facility		$17.19	$128.94	$223.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $135.38 / $206.30	Professional		$17.19	$135.38	$206.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $188.75	Professional		$102.26	$120.30	$188.75
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $91.36 / $159.25	Professional		$56.66	$91.36	$159.25