Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $269.14 / $532.62	Facility		$118.36	$269.14	$532.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $118.53	Professional		$117.36	$118.53	$118.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $234.72 / $311.00	Facility		$117.36	$234.72	$311.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $117.36 / $166.65	Professional		$99.75	$117.36	$166.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $159.81	Facility		$117.36	$117.36	$159.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $146.69	Professional		$117.36	$117.36	$146.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $288.25	Facility		$117.36	$117.36	$288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $117.36 / $308.39	Professional		$109.82	$117.36	$308.39
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $146.76	Professional		$117.36	$117.36	$146.76