Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $199.53	Professional		$131.83	$147.91	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $263.03	Facility		$95.50	$138.04	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $239.88	Professional		$128.82	$138.04	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $158.49	Facility		$57.54	$97.72	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $302.00	Facility		$87.10	$194.98	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $346.74	Professional		$134.90	$204.17	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $208.93	Facility		$64.57	$128.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $281.84	Professional		$141.25	$177.83	$281.84