Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $63.73 / $128.76	Facility		$63.73	$63.73	$128.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $66.18 / $71.59	Professional		$63.73	$66.18	$71.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $115.24 / $128.76	Facility		$101.72	$115.24	$128.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $78.30 / $106.22	Professional		$62.81	$78.30	$106.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $141.63 / $193.14	Facility		$96.57	$141.63	$193.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $141.63 / $173.83	Professional		$109.45	$141.63	$173.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $128.76	Facility		$80.45	$80.45	$128.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $132.09	Professional		$58.73	$80.45	$132.09
United Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $64.23 / $94.86	Professional		$42.82	$64.23	$94.86