Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $115.13 / $115.13	Facility		$115.13	$115.13	$115.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $115.13 / $122.60	Professional		$72.06	$115.13	$122.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $155.88 / $174.17	Facility		$137.59	$155.88	$174.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $167.04 / $220.49	Professional		$135.21	$167.04	$220.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $144.65 / $255.27	Facility		$17.42	$144.65	$255.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $137.16 / $235.13	Professional		$14.81	$137.16	$235.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $220.49	Professional		$98.18	$115.51	$220.49
United Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $92.16 / $168.16	Professional		$57.82	$92.16	$168.16