Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $134.83 / $738.99	Facility		$134.83	$134.83	$738.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $169.88	Professional		$134.83	$134.83	$169.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $159.29 / $159.29	Facility		$152.91	$159.29	$159.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $135.08 / $135.08	Professional		$114.81	$135.08	$135.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $79.98 / $133.32	Facility		$66.66	$79.98	$133.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $69.98 / $102.66	Professional		$66.66	$69.98	$102.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $134.83 / $148.32	Facility		$107.97	$134.83	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $148.32 / $191.95	Professional		$114.40	$148.32	$191.95
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $156.27 / $158.62	Professional		$132.43	$156.27	$158.62