Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $231.72 / $600.12	Facility		$132.47	$231.72	$600.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $132.47 / $132.47	Professional		$131.16	$132.47	$132.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $262.32 / $347.57	Facility		$131.16	$262.32	$347.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $132.04 / $187.49	Professional		$111.48	$132.04	$187.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $196.74	Facility		$131.16	$131.16	$196.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $163.95	Professional		$131.16	$131.16	$163.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Facility		$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $265.51	Professional		$131.16	$131.16	$265.51
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $222.97	Professional		$131.16	$146.01	$222.97