Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $228.43 / $694.61	Facility		$101.09	$228.43	$694.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $111.19	Professional		$100.09	$101.09	$111.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $200.18 / $242.22	Facility		$100.09	$200.18	$242.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.36 / $100.09	Professional		$3.24	$4.36	$100.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $150.13	Facility		$100.09	$100.09	$150.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $125.11	Professional		$100.09	$100.09	$125.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $102.69	Facility		$100.09	$100.09	$102.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $113.31	Professional		$100.09	$100.09	$113.31
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $120.11	Professional		$100.09	$106.10	$120.11