Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $133.22 / $144.29	Facility		$133.22	$133.22	$144.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $142.86	Professional		$131.90	$131.90	$142.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $254.57	Facility		$131.90	$131.90	$254.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $187.29	Professional		$131.90	$131.90	$187.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $197.85	Facility		$131.90	$131.90	$197.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $158.28	Professional		$131.90	$131.90	$158.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $173.23	Professional		$131.90	$131.90	$173.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $163.56	Professional		$131.90	$131.90	$163.56