Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $103.90 / $148.55	Professional		$100.84	$103.90	$148.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $174.13 / $194.56	Facility		$153.69	$174.13	$194.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $233.71 / $308.49	Professional		$148.43	$233.71	$308.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $165.38 / $296.82	Facility		$19.46	$165.38	$296.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $153.22 / $273.24	Professional		$17.60	$153.22	$273.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility		$123.59	$123.59	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $277.97	Professional		$105.05	$123.59	$277.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $104.99 / $199.99	Professional		$63.73	$104.99	$199.99