Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Facility		$101.80	$101.80	$101.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $99.84 / $101.80	Professional		$85.42	$99.84	$101.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.38 / $143.16 / $159.97	Facility		$126.38	$143.16	$159.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $134.63 / $177.72	Professional		$109.55	$134.63	$177.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $119.98 / $207.96	Facility		$15.55	$119.98	$207.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $116.59 / $192.05	Professional		$13.60	$116.59	$192.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $177.72	Professional		$85.26	$100.30	$177.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $81.47 / $135.41	Professional		$50.43	$81.47	$135.41