Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $134.90	Professional		$83.18	$112.20	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $239.88 / $295.12	Facility		$107.15	$239.88	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $190.55	Professional		$104.71	$107.15	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $263.03	Facility		$173.78	$218.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $239.88	Facility		$112.20	$112.20	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $194.98	Professional		$83.18	$83.18	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $186.21	Facility		$114.82	$134.90	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $154.88	Professional		$58.88	$114.82	$154.88