Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $237.52	Facility		$207.00	$207.00	$237.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.45	Professional		$204.96	$204.96	$225.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $395.57	Facility		$204.96	$204.96	$395.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $291.04	Professional		$204.96	$204.96	$291.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $307.44	Facility		$204.96	$204.96	$307.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $245.95	Professional		$204.96	$204.96	$245.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $587.53	Professional		$204.96	$204.96	$587.53
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $409.92	Professional		$204.96	$204.96	$409.92