Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $321.74 / $960.33	Facility		$140.06	$321.74	$960.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $153.13	Professional		$139.21	$139.21	$153.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $278.42 / $336.89	Facility		$139.21	$278.42	$336.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $192.10	Professional		$139.21	$139.21	$192.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $208.82	Facility		$139.21	$139.21	$208.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $174.01	Professional		$139.21	$139.21	$174.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Facility		$139.21	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $157.60	Professional		$139.21	$139.21	$157.60
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $158.84	Professional		$139.21	$147.56	$158.84