Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $144.04	Facility		$68.55	$68.55	$144.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $69.92 / $77.98	Professional		$68.55	$69.92	$77.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $128.91 / $144.04	Facility		$113.79	$128.91	$144.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $76.13 / $105.05	Professional		$70.27	$76.13	$105.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.16 / $158.44 / $216.06	Facility		$118.16	$158.44	$216.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $158.44 / $194.45	Professional		$122.43	$158.44	$194.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $144.04	Facility		$99.25	$99.25	$144.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $147.76	Professional		$72.45	$72.45	$147.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $93.69 / $94.11	Facility		$0.10	$93.69	$94.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $71.86 / $96.25	Professional		$41.64	$71.86	$96.25