Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $98.92 / $109.00	Facility		$98.92	$98.92	$109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $107.73	Professional		$97.94	$97.94	$107.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $156.69 / $195.88	Facility		$97.94	$156.69	$195.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $139.07	Professional		$97.94	$97.94	$139.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $146.91	Facility		$97.94	$97.94	$146.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $117.53	Professional		$97.94	$97.94	$117.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $129.63	Professional		$97.94	$97.94	$129.63
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $146.91	Professional		$97.94	$97.94	$146.91