Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $123.76	Facility		$58.90	$58.90	$123.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $60.08 / $61.26	Professional		$54.53	$60.08	$61.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.77 / $110.77 / $123.76	Facility		$97.77	$110.77	$123.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $66.69 / $92.03	Professional		$60.37	$66.69	$92.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $136.13 / $173.26	Facility		$92.82	$136.13	$173.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $136.13 / $167.08	Professional		$105.20	$136.13	$167.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $123.76	Facility		$68.84	$68.84	$123.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $126.96	Professional		$50.25	$50.25	$126.96
United Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $61.74 / $84.70	Professional		$36.64	$61.74	$84.70