Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $69.30 / $113.35	Facility		$69.30	$69.30	$113.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $69.30 / $83.01	Professional		$60.53	$69.30	$83.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $101.45 / $113.35	Facility		$89.55	$101.45	$113.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $200.00	Professional		$39.00	$39.00	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $133.52 / $170.03	Facility		$96.35	$133.52	$170.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $124.69 / $153.02	Professional		$96.35	$124.69	$153.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $113.35	Facility		$52.17	$52.17	$113.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $151.88	Professional		$38.08	$52.17	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $105.43 / $157.09	Professional		$63.35	$105.43	$157.09