Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $291.14 / $577.08	Facility		$113.58	$291.14	$577.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $113.58 / $285.60	Professional		$112.45	$113.58	$285.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $224.90 / $297.99	Facility		$112.45	$224.90	$297.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $112.45 / $159.66	Professional		$95.58	$112.45	$159.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $167.55	Facility		$112.45	$112.45	$167.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $129.32	Professional		$112.45	$112.45	$129.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $333.60	Professional		$112.45	$112.45	$333.60
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $150.21	Professional		$112.45	$112.45	$150.21