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 $56.42 / $69.42 / $95.79	Professional		$56.42	$69.42	$95.79
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 $70.70 / $70.70 / $115.79	Facility		$70.70	$70.70	$115.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $118.78	Professional		$51.62	$70.70	$118.78
United Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $55.36 / $81.56	Professional		$34.42	$55.36	$81.56