Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.76 / $107.76 / $217.73	Facility		$107.76	$107.76	$217.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $107.76 / $116.95	Professional		$102.77	$107.76	$116.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.01 / $194.87 / $217.73	Facility		$172.01	$194.87	$217.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $119.57 / $163.29	Professional		$106.21	$119.57	$163.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.30 / $239.50 / $304.82	Facility		$163.30	$239.50	$304.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $239.50 / $293.94	Professional		$185.07	$239.50	$293.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $217.73	Facility		$138.33	$138.33	$217.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $223.35	Professional		$100.98	$100.98	$223.35
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $104.20 / $145.94	Professional		$64.12	$104.20	$145.94