Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $114.54 / $194.72	Facility		$97.70	$114.54	$194.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $166.08	Professional		$114.54	$114.54	$166.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $135.06 / $229.08	Facility		$129.66	$135.06	$229.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $114.54 / $114.54	Professional		$97.35	$114.54	$114.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $124.43 / $183.26	Facility		$114.54	$124.43	$183.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $125.99 / $176.39	Professional		$114.54	$125.99	$176.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $487.56	Facility		$114.54	$114.54	$487.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $140.41 / $290.30	Professional		$114.54	$140.41	$290.30
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54