Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $117.36 / $199.51	Facility		$117.19	$117.36	$199.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $138.40 / $234.72	Facility		$132.86	$138.40	$234.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $117.36 / $117.36	Professional		$99.75	$117.36	$117.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $127.60 / $187.78	Facility		$117.36	$127.60	$187.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $129.10 / $180.73	Professional		$117.36	$129.10	$180.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $117.36 / $117.36	Facility		$116.47	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $211.84 / $211.84	Professional		$117.36	$211.84	$211.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36