Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $99.09 / $101.41	Facility		$99.09	$99.09	$101.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $101.41	Professional		$98.11	$98.11	$101.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $189.35	Facility		$98.11	$98.11	$189.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $139.31	Professional		$98.11	$98.11	$139.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $147.16	Facility		$98.11	$98.11	$147.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $117.73	Professional		$98.11	$98.11	$117.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $200.03	Professional		$98.11	$98.11	$200.03
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $131.06	Professional		$98.11	$98.11	$131.06