Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.83 / $337.49 / $638.24	Facility		$141.83	$337.49	$638.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $142.40 / $142.40	Professional		$140.99	$142.40	$142.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $281.98 / $373.62	Facility		$140.99	$281.98	$373.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $140.99 / $200.20	Professional		$119.84	$140.99	$200.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $211.49	Facility		$140.99	$140.99	$211.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $176.24	Professional		$140.99	$140.99	$176.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Facility		$140.99	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $140.99 / $386.71	Professional		$132.77	$140.99	$386.71
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $156.94 / $174.83	Professional		$140.99	$156.94	$174.83