Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $152.68 / $1,737.56	Facility		$151.84	$152.68	$1,737.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $158.72	Professional		$151.16	$151.16	$158.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $178.26 / $291.74	Facility		$151.16	$178.26	$291.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $214.64	Professional		$151.16	$151.16	$214.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $226.76	Facility		$151.16	$151.16	$226.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $181.40	Professional		$151.16	$151.16	$181.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $204.88	Professional		$151.16	$151.16	$204.88
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $256.99	Professional		$151.16	$151.16	$256.99