Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $218.78 / $478.63	Facility		$104.71	$218.78	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $229.09	Facility		$123.03	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $158.49	Professional		$104.71	$104.71	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $181.97	Facility		$100.00	$120.23	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Facility		$104.71	$104.71	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Professional		$104.71	$104.71	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $194.98	Facility		$100.00	$100.00	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $117.49	Professional		$104.71	$112.20	$117.49