Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $92.56 / $187.01	Facility		$92.56	$92.56	$187.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $92.56 / $101.46	Professional		$84.25	$92.56	$101.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $167.37 / $187.01	Facility		$147.74	$167.37	$187.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $92.70 / $127.92	Professional		$88.72	$92.70	$127.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $205.71 / $280.52	Facility		$151.51	$205.71	$280.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $205.71 / $252.46	Professional		$158.96	$205.71	$252.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $187.01	Facility		$132.63	$132.63	$187.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $172.54	Professional		$96.83	$132.63	$172.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $89.13 / $122.12	Professional		$50.39	$89.13	$122.12