Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $158.49	Professional		$87.10	$112.20	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $288.40	Facility		$109.65	$234.42	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $194.98	Professional		$104.71	$109.65	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $275.42	Facility		$181.97	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $234.42	Facility		$112.20	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $199.53	Professional		$81.28	$81.28	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $181.97	Facility		$69.18	$125.89	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $151.36	Professional		$60.26	$104.71	$151.36