Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $166.48	Facility		$163.24	$163.24	$166.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $166.48	Professional		$161.62	$161.62	$166.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $311.93	Facility		$161.62	$161.62	$311.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $229.50	Professional		$161.62	$161.62	$229.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $242.43	Facility		$161.62	$161.62	$242.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $193.94	Professional		$161.62	$161.62	$193.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $303.61	Professional		$161.62	$161.62	$303.61
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $215.89	Professional		$161.62	$161.62	$215.89