Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $107.77 / $107.77	Facility		$90.07	$107.77	$107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $107.77	Professional		$106.70	$106.70	$107.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $205.93	Facility		$106.70	$106.70	$205.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $151.51	Professional		$106.70	$106.70	$151.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $160.05	Facility		$106.70	$106.70	$160.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $128.04	Professional		$106.70	$106.70	$128.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $373.33	Professional		$106.70	$106.70	$373.33
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $160.05	Professional		$106.70	$106.70	$160.05