Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $110.53 / $131.41	Facility		$110.53	$110.53	$131.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $120.38	Professional		$109.44	$109.44	$120.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $211.22	Facility		$109.44	$109.44	$211.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $155.40	Professional		$109.44	$109.44	$155.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $164.16	Facility		$109.44	$109.44	$164.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $131.33	Professional		$109.44	$109.44	$131.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $290.85	Professional		$109.44	$109.44	$290.85
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $146.19	Professional		$109.44	$109.44	$146.19