Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $79.06 / $159.72	Facility		$79.06	$79.06	$159.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $79.06 / $85.79	Professional		$70.31	$79.06	$85.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $142.96 / $159.72	Facility		$126.19	$142.96	$159.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $79.04 / $109.07	Professional		$77.26	$79.04	$109.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $167.72 / $223.62	Facility		$112.15	$167.72	$223.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $175.70 / $215.64	Professional		$135.77	$175.70	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $159.72	Facility		$103.32	$103.32	$159.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $146.26	Professional		$75.42	$103.32	$146.26
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $76.14 / $104.39	Professional		$43.88	$76.14	$104.39