Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $134.19 / $335.83	Facility		$130.66	$134.19	$335.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $134.19	Professional		$134.19	$134.19	$134.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $268.38 / $355.60	Facility		$134.19	$268.38	$355.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $135.59 / $192.53	Professional		$114.06	$135.59	$192.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $201.29	Facility		$134.19	$134.19	$201.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $167.74	Professional		$134.19	$134.19	$167.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Facility		$177.04	$177.04	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $177.04 / $463.71	Professional		$158.93	$177.04	$463.71
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $151.63 / $195.02	Professional		$134.19	$151.63	$195.02