Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $127.45 / $216.67	Facility		$126.24	$127.45	$216.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $150.30 / $254.90	Facility		$144.29	$150.30	$254.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $127.45 / $127.45	Professional		$108.33	$127.45	$127.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $138.50 / $203.92	Facility		$127.45	$138.50	$203.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $140.19 / $196.27	Professional		$127.45	$140.19	$196.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $183.21	Facility		$127.45	$127.45	$183.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $131.71 / $251.98	Professional		$127.45	$131.71	$251.98
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45