Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $128.96 / $128.96	Facility		$128.96	$128.96	$128.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $128.96 / $138.44	Professional		$103.84	$128.96	$138.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $160.55 / $179.38	Facility		$141.71	$160.55	$179.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $188.39 / $248.67	Professional		$152.99	$188.39	$248.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $25.60 / $245.03	Facility		$16.64	$25.60	$245.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.24 / $257.27	Professional		$16.52	$26.24	$257.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $112.73	Facility		$112.00	$112.73	$112.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $211.55	Professional		$95.82	$112.73	$211.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $84.23 / $155.69	Professional		$56.16	$84.23	$155.69