Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $71.69 / $150.63	Facility		$71.69	$71.69	$150.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $71.69 / $74.56	Professional		$58.13	$71.69	$74.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $134.82 / $150.63	Facility		$119.01	$134.82	$150.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $71.42 / $98.55	Professional		$70.54	$71.42	$98.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $158.16 / $210.90	Facility		$99.83	$158.16	$210.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $165.70 / $203.36	Professional		$128.04	$165.70	$203.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $150.63	Facility		$97.44	$97.44	$150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $131.90	Professional		$71.13	$97.44	$131.90
United Facility/Professional Facility Modifier Low / Median / High Price $187.92 / $187.92 / $187.92	Facility		$187.92	$187.92	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $75.15 / $100.65	Professional		$39.06	$75.15	$100.65