Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $57.31 / $115.79	Facility		$57.31	$57.31	$115.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $58.43 / $62.19	Professional		$55.11	$58.43	$62.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $103.63 / $115.79	Facility		$91.47	$103.63	$115.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $62.92 / $86.82	Professional		$56.49	$62.92	$86.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $127.37 / $173.69	Facility		$87.35	$127.37	$173.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $127.37 / $156.32	Professional		$98.42	$127.37	$156.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $115.79	Facility		$64.66	$64.66	$115.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $102.90	Professional		$47.20	$64.66	$102.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $55.36 / $78.31	Professional		$34.42	$55.36	$78.31