Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $478.63	Facility		$138.04	$213.80	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $131.83	Professional		$89.13	$112.20	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $407.38	Facility		$138.04	$138.04	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $112.20	Professional		$54.95	$54.95	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $257.04	Facility		$138.04	$138.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $251.19	Professional		$60.26	$125.89	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04