Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $169.82	Professional		$85.11	$125.89	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $323.59	Facility		$117.49	$257.04	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $208.93	Professional		$112.20	$117.49	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $288.40	Facility		$194.98	$245.47	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $257.04	Facility		$120.23	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $223.87	Professional		$87.10	$87.10	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $204.17	Facility		$74.13	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $169.82	Professional		$63.10	$117.49	$169.82