Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $85.75 / $85.75	Facility		$85.75	$85.75	$85.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $66.84 / $92.32	Professional		$57.97	$66.84	$92.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $112.04 / $125.18	Facility		$98.89	$112.04	$125.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $134.38 / $177.39	Professional		$101.50	$134.38	$177.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $106.90 / $192.45	Facility		$12.79	$106.90	$192.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $98.58 / $184.86	Professional		$11.88	$98.58	$184.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $109.27	Facility		$81.62	$81.62	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $84.07 / $150.91	Professional		$69.38	$84.07	$150.91
United Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $68.67 / $128.85	Professional		$42.60	$68.67	$128.85