Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $139.31 / $139.31	Facility		$109.69	$139.31	$139.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $266.20	Facility		$137.93	$137.93	$266.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $195.86	Professional		$137.93	$137.93	$195.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $206.90	Facility		$137.93	$137.93	$206.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $158.62	Professional		$137.93	$137.93	$158.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $206.90	Professional		$137.93	$137.93	$206.90