Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $144.27 / $337.80	Facility		$140.75	$144.27	$337.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $281.50 / $372.99	Facility		$140.75	$281.50	$372.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $147.37 / $209.26	Professional		$125.26	$147.37	$209.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $211.13	Facility		$140.75	$140.75	$211.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $175.94	Professional		$140.75	$140.75	$175.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $161.82 / $428.07	Professional		$138.57	$161.82	$428.07
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $166.15 / $193.00	Professional		$144.47	$166.15	$193.00