Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $93.47 / $93.47	Facility		$93.47	$93.47	$93.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $93.47 / $98.94	Professional		$68.04	$93.47	$98.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $99.19 / $191.44	Facility		$99.19	$99.19	$191.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $99.19 / $133.62	Professional		$94.38	$99.19	$133.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $17.07 / $174.83	Facility		$10.03	$17.07	$174.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $17.73 / $174.78	Professional		$11.16	$17.73	$174.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $114.91 / $136.36	Professional		$10.52	$114.91	$136.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $52.42 / $116.20	Professional		$33.64	$52.42	$116.20