Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Facility		$147.91	$147.91	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $281.84	Facility		$165.96	$173.78	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Professional		$141.25	$147.91	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $229.09	Facility		$141.25	$141.25	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $199.53	Professional		$141.25	$147.91	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $204.17	Facility		$147.91	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $602.56 / $602.56	Professional		$147.91	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91