Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $111.85	Facility		$55.36	$55.36	$111.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $55.57 / $60.08	Professional		$53.23	$55.57	$60.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $100.11 / $111.85	Facility		$88.36	$100.11	$111.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $59.20 / $79.92	Professional		$54.56	$59.20	$79.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $123.04 / $167.78	Facility		$84.37	$123.04	$167.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $123.04 / $151.00	Professional		$95.07	$123.04	$151.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $111.85	Facility		$66.72	$66.72	$111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $114.73	Professional		$48.71	$66.72	$114.73
United Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $54.01 / $75.12	Professional		$33.24	$54.01	$75.12