Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $85.92 / $85.92	Facility		$85.92	$85.92	$85.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $85.92 / $87.31	Professional		$72.41	$85.92	$87.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $121.36 / $135.60	Facility		$107.12	$121.36	$135.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $112.38 / $148.34	Professional		$92.86	$112.38	$148.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $101.70 / $176.28	Facility		$13.29	$101.70	$176.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $97.27 / $162.72	Professional		$11.53	$97.27	$162.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $153.38	Professional		$38.25	$45.00	$153.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $68.76 / $100.77	Professional		$42.43	$68.76	$100.77