Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.77 / $308.50 / $588.91	Facility		$130.77	$308.50	$588.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $130.77 / $130.77	Professional		$129.47	$130.77	$130.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $258.95 / $343.12	Facility		$129.47	$258.95	$343.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $129.47 / $183.86	Professional		$110.05	$129.47	$183.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $174.80	Facility		$129.47	$129.47	$174.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $161.85	Professional		$129.47	$129.47	$161.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $332.89	Facility		$129.47	$129.47	$332.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $129.47 / $353.48	Professional		$125.13	$129.47	$353.48
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $160.56	Professional		$129.47	$129.47	$160.56