Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $118.77 / $122.09	Professional		$97.75	$118.77	$122.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.62 / $163.84 / $183.06	Facility		$144.62	$163.84	$183.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $164.90 / $217.66	Professional		$131.91	$164.90	$217.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $144.16 / $252.00	Facility		$18.30	$144.16	$252.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $142.80 / $235.19	Professional		$15.56	$142.80	$235.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $217.67	Professional		$97.30	$114.47	$217.67
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $95.06 / $165.84	Professional		$58.04	$95.06	$165.84