Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $167.65 / $167.65	Facility		$167.65	$167.65	$167.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $167.65 / $169.74	Professional		$167.65	$167.65	$169.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $167.65 / $199.08	Professional		$0.02	$167.65	$199.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $88.26	Facility		$64.41	$64.41	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $217.31	Professional		$202.90	$202.90	$217.31