Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $465.93	Facility		$103.54	$103.54	$465.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Professional		$103.54	$103.54	$103.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $111.85 / $215.87	Facility		$111.85	$111.85	$215.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $111.85 / $150.99	Professional		$95.07	$111.85	$150.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $99.73 / $99.73	Facility		$99.73	$99.73	$99.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $99.73 / $99.73	Professional		$99.73	$99.73	$99.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $111.84 / $147.63	Professional		$111.84	$111.84	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $172.88	Professional		$129.41	$129.41	$172.88