Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $191.17	Facility		$112.45	$112.45	$191.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $162.33	Professional		$112.45	$112.45	$162.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.31 / $132.61 / $224.90	Facility		$127.31	$132.61	$224.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $112.45 / $112.45	Professional		$95.58	$112.45	$112.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $123.70 / $179.92	Facility		$112.45	$123.70	$179.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $118.07 / $173.17	Professional		$112.45	$118.07	$173.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $367.84	Facility		$112.45	$112.45	$367.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $144.69 / $230.16	Professional		$112.45	$144.69	$230.16
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45