Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $91.86 / $185.60	Facility		$91.86	$91.86	$185.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $94.48 / $109.69	Professional		$88.33	$94.48	$109.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $166.11 / $185.60	Facility		$146.62	$166.11	$185.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $99.32 / $137.06	Professional		$92.98	$99.32	$137.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $204.16 / $278.39	Facility		$154.63	$204.16	$278.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.76 / $204.16 / $250.56	Professional		$157.76	$204.16	$250.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $185.60	Facility		$120.06	$120.06	$185.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $190.39	Professional		$87.64	$120.06	$190.39
United Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $91.76 / $127.33	Professional		$56.41	$91.76	$127.33