Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $222.97	Facility		$131.16	$131.16	$222.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $131.16 / $165.26	Professional		$131.15	$131.16	$165.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $154.66 / $262.32	Facility		$148.47	$154.66	$262.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $131.16 / $131.16	Professional		$111.48	$131.16	$131.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $142.35 / $209.86	Facility		$131.16	$142.35	$209.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $144.28 / $201.99	Professional		$131.16	$144.28	$201.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $131.16 / $333.63	Facility		$117.01	$131.16	$333.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $178.58 / $178.58	Professional		$131.16	$178.58	$178.58
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.03 / $146.01	Professional		$131.16	$139.03	$146.01