Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.86 / $335.65 / $748.14	Facility		$96.86	$335.65	$748.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $115.08	Professional		$95.90	$95.90	$115.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $191.80 / $232.08	Facility		$95.90	$191.80	$232.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $132.34	Professional		$95.90	$95.90	$132.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $143.85	Facility		$95.90	$95.90	$143.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $119.88	Professional		$95.90	$95.90	$119.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $173.80	Facility		$95.90	$95.90	$173.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $240.00	Professional		$95.90	$95.90	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $106.76 / $163.03	Professional		$95.90	$106.76	$163.03