Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $58.01 / $117.20	Facility		$58.01	$58.01	$117.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $60.24 / $70.16	Professional		$58.01	$60.24	$70.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $104.89 / $117.20	Facility		$92.59	$104.89	$117.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $70.61 / $97.44	Professional		$57.17	$70.61	$97.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $128.91 / $175.80	Facility		$98.72	$128.91	$175.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $128.91 / $158.22	Professional		$99.62	$128.91	$158.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $117.20	Facility		$75.81	$75.81	$117.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $120.22	Professional		$55.35	$75.81	$120.22
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $57.84 / $86.34	Professional		$38.56	$57.84	$86.34