Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.22 / $138.56	Facility		$136.22	$136.22	$138.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $138.56	Professional		$134.88	$134.88	$138.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $260.33	Facility		$134.88	$134.88	$260.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $191.54	Professional		$134.88	$134.88	$191.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $202.34	Facility		$134.88	$134.88	$202.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $155.12	Professional		$134.88	$134.88	$155.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $139.91	Professional		$134.88	$134.88	$139.91
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $145.68	Professional		$134.88	$134.88	$145.68