Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $102.04 / $102.04	Facility		$99.53	$102.04	$102.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $106.08	Professional		$101.03	$101.03	$106.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $161.65 / $202.06	Facility		$101.03	$161.65	$202.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $143.46	Professional		$101.03	$101.03	$143.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $151.55	Facility		$101.03	$101.03	$151.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $121.24	Professional		$101.03	$101.03	$121.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $136.44	Professional		$101.03	$101.03	$136.44
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $151.55	Professional		$101.03	$101.03	$151.55