Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $73.38 / $148.25	Facility		$73.38	$73.38	$148.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $73.38 / $79.63	Professional		$67.84	$73.38	$79.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $132.68 / $148.25	Facility		$117.12	$132.68	$148.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $76.45 / $105.50	Professional		$72.31	$76.45	$105.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $159.11 / $207.55	Facility		$108.20	$159.11	$207.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $163.08 / $200.14	Professional		$126.01	$163.08	$200.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $148.25	Facility		$104.21	$104.21	$148.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $152.08	Professional		$76.06	$76.06	$152.08
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $70.66 / $98.04	Professional		$42.34	$70.66	$98.04