Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $54.18 / $113.85	Facility		$54.18	$54.18	$113.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $55.59 / $56.65	Professional		$54.18	$55.59	$56.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.94 / $101.90 / $113.85	Facility		$89.94	$101.90	$113.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $61.08 / $84.29	Professional		$57.04	$61.08	$84.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $125.24 / $170.78	Facility		$85.84	$125.24	$170.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $125.24 / $153.69	Professional		$96.77	$125.24	$153.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $113.85	Facility		$90.38	$90.38	$113.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $116.79	Professional		$76.81	$90.38	$116.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $56.80 / $78.18	Professional		$33.82	$56.80	$78.18