Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $99.82 / $130.19	Professional		$83.91	$99.82	$130.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.69 / $62.69 / $120.99	Facility		$62.69	$62.69	$120.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $62.69 / $99.33	Professional		$62.69	$62.69	$99.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.99 / $197.59 / $300.57	Facility		$151.99	$197.59	$300.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $182.39 / $227.99	Professional		$159.59	$182.39	$227.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $155.91	Professional		$62.01	$62.01	$155.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $75.83 / $109.71	Professional		$54.86	$75.83	$109.71