Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $241.39 / $477.00	Facility		$105.78	$241.39	$477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $105.78 / $105.78	Professional		$104.73	$105.78	$105.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $209.46 / $277.52	Facility		$104.73	$209.46	$277.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $104.73 / $148.71	Professional		$89.02	$104.73	$148.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $157.10	Facility		$104.73	$104.73	$157.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $130.91	Professional		$104.73	$104.73	$130.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $104.73 / $276.58	Professional		$91.37	$104.73	$276.58
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $129.87	Professional		$104.73	$104.73	$129.87