Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $354.00 / $461.25	Facility		$102.50	$354.00	$461.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $103.96 / $103.96	Professional		$102.94	$103.96	$103.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $205.86 / $272.79	Facility		$102.93	$205.86	$272.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $102.94 / $146.16	Professional		$87.49	$102.94	$146.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $154.41	Facility		$102.94	$102.94	$154.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $128.68	Professional		$102.94	$102.94	$128.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $413.74	Professional		$102.94	$102.94	$413.74
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $172.80	Professional		$102.94	$102.94	$172.80