Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $153.90	Professional		$152.00	$152.00	$153.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $65.92 / $127.23	Facility		$65.92	$65.92	$127.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $93.60	Professional		$65.92	$65.92	$93.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $66.51 / $103.10	Facility		$64.41	$66.51	$103.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $79.81	Professional		$66.51	$66.51	$79.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $180.91	Professional		$167.51	$167.51	$180.91