Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $131.28	Professional		$129.66	$129.66	$131.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $312.81	Facility		$162.08	$162.08	$312.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $223.67	Professional		$162.08	$162.08	$223.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $88.26	Facility		$64.41	$64.41	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $173.59	Professional		$162.08	$162.08	$173.59