Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $446.68	Facility		$120.23	$186.21	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $117.49	Professional		$89.13	$97.72	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $363.08	Facility		$120.23	$120.23	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $141.25	Professional		$60.26	$72.44	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Facility		$104.71	$104.71	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $269.15	Facility		$77.62	$120.23	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $79.43 / $158.49	Professional		$5.01	$79.43	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $120.23 / $120.23	Facility		$42.66	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $131.83	Professional		$51.29	$77.62	$131.83