Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $101.74 / $101.74	Facility		$101.74	$101.74	$101.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $101.74 / $115.82	Professional		$86.09	$101.74	$115.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $143.44 / $160.28	Facility		$126.62	$143.44	$160.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $369.60 / $560.00	Professional		$33.29	$369.60	$560.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $104.18 / $168.29	Facility		$12.02	$104.18	$168.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $102.17 / $136.24	Professional		$13.63	$102.17	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $176.31	Professional		$83.68	$98.45	$176.31
United Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $59.87 / $125.06	Facility		$6.65	$59.87	$125.06
United Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $93.91 / $145.94	Professional		$53.22	$93.91	$145.94