Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $223.80 / $710.68	Facility		$123.35	$223.80	$710.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $123.36 / $137.06	Professional		$123.35	$123.36	$137.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $145.47 / $145.56	Facility		$139.66	$145.47	$145.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $123.36 / $123.36	Professional		$104.85	$123.36	$123.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $135.69 / $217.55	Facility		$123.36	$135.69	$217.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $129.53 / $172.70	Professional		$123.36	$129.53	$172.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $143.26	Facility		$123.36	$123.36	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $123.36 / $268.89	Professional		$110.93	$123.36	$268.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36