Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $93.70 / $189.31	Facility		$93.70	$93.70	$189.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $93.70 / $101.68	Professional		$83.94	$93.70	$101.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.55 / $169.43 / $189.31	Facility		$149.55	$169.43	$189.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $94.06 / $129.80	Professional		$88.39	$94.06	$129.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $203.59 / $265.02	Facility		$138.44	$203.59	$265.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $208.24 / $255.57	Professional		$160.91	$208.24	$255.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $189.31	Facility		$117.36	$117.36	$189.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $171.38	Professional		$85.67	$117.36	$171.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $88.91 / $120.94	Professional		$50.20	$88.91	$120.94