Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $380.19	Facility		$83.18	$169.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $102.33	Professional		$83.18	$85.11	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $199.53	Facility		$100.00	$131.83	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $114.82	Professional		$75.86	$75.86	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $43,651.58 / $70,794.58	Facility		$41,686.94	$43,651.58	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Facility		$89.13	$89.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $177.83	Facility		$147.91	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $97.72	Professional		$87.10	$93.33	$97.72