Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $85.49 / $172.72	Facility		$85.49	$85.49	$172.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $87.08 / $92.77	Professional		$82.20	$87.08	$92.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $154.58 / $172.72	Facility		$136.44	$154.58	$172.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $93.03 / $128.38	Professional		$84.00	$93.03	$128.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $189.99 / $259.08	Facility		$130.24	$189.99	$259.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $189.99 / $233.17	Professional		$146.81	$189.99	$233.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $172.72	Facility		$104.24	$104.24	$172.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $177.17	Professional		$76.09	$104.24	$177.17
United Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $82.57 / $115.98	Professional		$51.32	$82.57	$115.98