Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $306.74 / $640.85	Facility		$142.41	$306.74	$640.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.02 / $143.02	Professional		$141.60	$143.02	$143.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $283.20 / $375.24	Facility		$141.60	$283.20	$375.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $141.60 / $201.07	Professional		$120.36	$141.60	$201.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $212.40	Facility		$141.60	$141.60	$212.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $177.00	Professional		$141.60	$141.60	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $312.14	Facility		$141.60	$141.60	$312.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $141.60 / $351.48	Professional		$119.56	$141.60	$351.48
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $175.58	Professional		$141.60	$141.60	$175.58