Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $147.91 / $147.91	Facility		$144.54	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $512.86	Facility		$141.25	$288.40	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $223.87	Professional		$144.54	$144.54	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $288.40	Facility		$144.54	$218.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $181.97	Professional		$125.89	$134.90	$181.97