Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $63.52 / $103.99	Facility		$63.52	$63.52	$103.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $63.52 / $77.23	Professional		$55.53	$63.52	$77.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $93.07 / $103.99	Facility		$82.15	$93.07	$103.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $114.28 / $153.94	Professional		$91.64	$114.28	$153.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.39 / $122.50 / $155.99	Facility		$88.39	$122.50	$155.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $114.39 / $140.38	Professional		$88.39	$114.39	$140.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $128.79 / $128.79	Facility		$103.99	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $144.91	Professional		$94.02	$128.79	$144.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $93.29 / $136.46	Professional		$57.99	$93.29	$136.46