Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $133.58 / $133.58	Facility		$133.58	$133.58	$133.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $133.58 / $136.79	Professional		$111.49	$133.58	$136.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.94 / $186.87 / $208.79	Facility		$164.94	$186.87	$208.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $159.02 / $209.90	Professional		$112.22	$159.02	$209.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $156.59 / $273.69	Facility		$20.67	$156.59	$273.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $155.09 / $255.48	Professional		$17.75	$155.09	$255.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $249.59	Professional		$111.08	$130.68	$249.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $106.90 / $170.69	Professional		$64.42	$106.90	$170.69