Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $294.98 / $444.02	Facility		$98.67	$294.98	$444.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $115.68 / $345.60	Professional		$114.54	$115.68	$345.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $229.08 / $303.52	Facility		$114.54	$229.08	$303.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $114.54 / $162.63	Professional		$97.35	$114.54	$162.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $171.81	Facility		$114.54	$114.54	$171.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $143.18	Professional		$114.54	$114.54	$143.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $338.00	Professional		$114.54	$114.54	$338.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $194.72	Professional		$114.54	$114.54	$194.72