Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $166.92 / $394.83	Facility		$107.00	$166.92	$394.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $85.60 / $90.95	Professional		$72.76	$85.60	$90.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $321.00 / $580.90	Facility		$135.44	$321.00	$580.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $135.44 / $182.47	Professional		$88.52	$135.44	$182.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $139.10 / $208.65	Facility		$107.00	$139.10	$208.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $128.40 / $160.50	Professional		$107.00	$128.40	$160.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $107.00 / $238.65	Facility		$69.55	$107.00	$238.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $156.30 / $178.79	Professional		$130.46	$156.30	$178.79
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Facility		$107.00	$107.00	$107.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $117.59	Professional		$44.94	$64.20	$117.59