Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $96.59 / $195.15	Facility		$96.59	$96.59	$195.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $96.96 / $104.82	Professional		$92.88	$96.96	$104.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $174.66 / $195.15	Facility		$154.16	$174.66	$195.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $105.27 / $142.11	Professional		$76.66	$105.27	$142.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $214.67 / $292.73	Facility		$147.11	$214.67	$292.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $214.67 / $263.45	Professional		$165.88	$214.67	$263.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $195.15	Facility		$112.22	$112.22	$195.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $200.19	Professional		$81.92	$81.92	$200.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $93.02 / $131.05	Professional		$57.99	$93.02	$131.05