Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $102.73 / $102.73	Facility		$101.72	$102.73	$102.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $102.73	Professional		$101.72	$101.72	$102.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $196.32	Facility		$101.72	$101.72	$196.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $144.44	Professional		$101.72	$101.72	$144.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $152.58	Facility		$101.72	$101.72	$152.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $122.06	Professional		$101.72	$101.72	$122.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $132.21	Professional		$101.72	$101.72	$132.21
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $135.88	Professional		$101.72	$101.72	$135.88