Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.99 / $239.68	Facility		$140.43	$140.99	$239.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $166.26 / $281.98	Facility		$159.61	$166.26	$281.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $140.99 / $140.99	Professional		$119.84	$140.99	$140.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $153.25 / $225.58	Facility		$140.99	$153.25	$225.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $155.09 / $217.12	Professional		$140.99	$155.09	$217.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $155.51	Facility		$140.99	$140.99	$155.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $264.16 / $264.16	Professional		$140.99	$264.16	$264.16
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $156.94	Professional		$140.99	$149.44	$156.94