Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $135.38 / $135.38	Facility		$135.38	$135.38	$135.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $135.38 / $140.22	Professional		$99.91	$135.38	$140.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $195.86 / $218.84	Facility		$172.88	$195.86	$218.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $161.11 / $218.84	Professional		$128.88	$161.11	$218.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $153.47 / $284.49	Facility		$18.42	$153.47	$284.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $142.25 / $262.61	Professional		$18.42	$142.25	$262.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $224.48	Professional		$114.26	$134.41	$224.48
United Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $104.32 / $140.80	Professional		$61.87	$104.32	$140.80