Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $140.13 / $3,116.14	Facility		$137.54	$140.13	$3,116.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $163.61 / $267.77	Facility		$138.74	$163.61	$267.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $197.01	Professional		$138.74	$138.74	$197.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $208.11	Facility		$138.74	$138.74	$208.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $166.49	Professional		$138.74	$138.74	$166.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $176.45	Professional		$138.74	$138.74	$176.45
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $267.89	Professional		$138.74	$138.74	$267.89