Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $76.95 / $155.49	Facility		$76.95	$76.95	$155.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $76.95 / $83.52	Professional		$73.93	$76.95	$83.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $139.16 / $155.49	Facility		$122.84	$139.16	$155.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $81.20 / $112.06	Professional		$75.84	$81.20	$112.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.62 / $171.04 / $217.69	Facility		$116.62	$171.04	$217.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $171.04 / $209.91	Professional		$132.16	$171.04	$209.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $155.49	Facility		$86.66	$86.66	$155.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $159.51	Professional		$63.26	$86.66	$159.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $74.33 / $104.25	Professional		$46.13	$74.33	$104.25