Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.26 / $87.26 / $176.29	Facility		$87.26	$87.26	$176.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $90.61 / $97.44	Professional		$85.31	$90.61	$97.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $157.78 / $176.29	Facility		$139.27	$157.78	$176.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $107.22 / $144.74	Professional		$86.00	$107.22	$144.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $193.92 / $264.44	Facility		$132.22	$193.92	$264.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $193.92 / $237.99	Professional		$149.85	$193.92	$237.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $176.29	Facility		$110.16	$110.16	$176.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $180.85	Professional		$80.42	$110.16	$180.85
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $87.95 / $129.88	Professional		$58.64	$87.95	$129.88