Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $108.04 / $108.04	Facility		$65.39	$108.04	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $108.04	Professional		$106.97	$106.97	$108.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $206.45	Facility		$106.97	$106.97	$206.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $151.88	Professional		$106.97	$106.97	$151.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $160.46	Facility		$106.97	$106.97	$160.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $123.02	Professional		$106.97	$106.97	$123.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $132.63	Professional		$106.97	$106.97	$132.63