Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $60.35 / $126.80	Facility		$60.35	$60.35	$126.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $61.92 / $63.11	Professional		$60.35	$61.92	$63.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $113.49 / $126.80	Facility		$100.17	$113.49	$126.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $204.90 / $307.35	Professional		$63.53	$204.90	$307.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $139.47 / $190.20	Facility		$95.63	$139.47	$190.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $139.47 / $171.18	Professional		$107.78	$139.47	$171.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $126.80	Facility		$100.70	$100.70	$126.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $147.00	Professional		$85.60	$85.60	$147.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $63.26 / $87.11	Professional		$37.69	$63.26	$87.11