Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $155.65	Facility		$77.04	$77.04	$155.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $77.04 / $83.60	Professional		$73.54	$77.04	$83.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $139.31 / $155.65	Facility		$122.96	$139.31	$155.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $84.03 / $115.96	Professional		$75.94	$84.03	$115.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.74 / $171.22 / $217.91	Facility		$116.74	$171.22	$217.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $171.22 / $210.13	Professional		$132.30	$171.22	$210.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $155.65	Facility		$86.21	$86.21	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $136.29	Professional		$62.93	$86.21	$136.29
United Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $74.20 / $104.01	Professional		$45.89	$74.20	$104.01