Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $117.04	Facility		$57.93	$57.93	$117.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $58.57 / $62.87	Professional		$55.70	$58.57	$62.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $104.75 / $117.04	Facility		$92.46	$104.75	$117.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $63.03 / $85.09	Professional		$57.00	$63.03	$85.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $128.74 / $175.56	Facility		$87.78	$128.74	$175.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $128.74 / $158.00	Professional		$99.48	$128.74	$158.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $117.04	Facility		$75.70	$75.70	$117.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $120.06	Professional		$55.27	$55.27	$120.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $58.39 / $79.73	Professional		$35.04	$58.39	$79.73