Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $112.26 / $131.56	Facility		$112.26	$112.26	$131.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.27	Professional		$111.15	$111.15	$122.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $214.52	Facility		$111.15	$111.15	$214.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $157.83	Professional		$111.15	$111.15	$157.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $166.73	Facility		$111.15	$111.15	$166.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $133.38	Professional		$111.15	$111.15	$133.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $430.15	Professional		$111.15	$111.15	$430.15
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $137.83	Professional		$111.15	$111.15	$137.83