Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $94.28 / $94.28	Facility		$94.28	$94.28	$94.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $94.28 / $95.57	Professional		$80.75	$94.28	$95.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $135.34 / $151.22	Facility		$119.46	$135.34	$151.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $113.82 / $150.24	Professional		$97.49	$113.82	$150.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $113.42 / $196.59	Facility		$14.23	$113.42	$196.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $102.17 / $181.46	Professional		$12.85	$102.17	$181.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $164.40	Professional		$79.48	$93.52	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $75.26 / $108.69	Professional		$45.76	$75.26	$108.69