Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $325.27 / $6,842.40	Facility		$100.12	$325.27	$6,842.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $100.12 / $100.12	Professional		$99.13	$100.12	$100.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $198.26 / $262.69	Facility		$99.13	$198.26	$262.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $103.70 / $147.25	Professional		$84.26	$103.70	$147.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $148.69	Facility		$99.13	$99.13	$148.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $123.91	Professional		$99.13	$99.13	$123.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $570.20	Facility		$99.13	$99.13	$570.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $372.71	Professional		$99.13	$99.13	$372.71
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $168.52	Professional		$99.13	$110.35	$168.52