Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $125.04 / $127.32	Facility		$125.04	$125.04	$127.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $127.32	Professional		$123.80	$123.80	$127.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $238.93	Facility		$123.80	$123.80	$238.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $175.79	Professional		$123.80	$123.80	$175.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $185.70	Facility		$123.80	$123.80	$185.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $148.56	Professional		$123.80	$123.80	$148.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $229.50	Professional		$123.80	$123.80	$229.50
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $185.70	Professional		$123.80	$123.80	$185.70