Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $402.56 / $986.99	Facility		$135.97	$402.56	$986.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $124.60 / $135.97	Professional		$123.36	$124.60	$135.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $246.72 / $370.08	Facility		$129.53	$246.72	$370.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $123.36 / $175.17	Professional		$104.85	$123.36	$175.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $135.69 / $185.04	Facility		$123.36	$135.69	$185.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $135.69 / $135.69	Professional		$123.36	$135.69	$135.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $123.36 / $339.96	Professional		$123.09	$123.36	$339.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $152.97	Professional		$123.36	$123.36	$152.97