Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $220.12	Facility		$129.47	$129.47	$220.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $163.13	Professional		$129.47	$129.47	$163.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.58 / $152.69 / $258.95	Facility		$146.58	$152.69	$258.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $129.47 / $129.47	Professional		$110.05	$129.47	$129.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $140.61 / $207.17	Facility		$129.47	$140.61	$207.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $142.43 / $199.40	Professional		$129.47	$142.43	$199.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.50	Facility		$129.47	$129.47	$129.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $240.36 / $240.36	Professional		$129.47	$240.36	$240.36
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47