Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $150.53 / $188.91	Facility		$143.08	$150.53	$188.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $152.16 / $189.38	Professional		$132.51	$152.16	$189.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $401.15 / $472.92	Facility		$207.85	$401.15	$472.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $207.85 / $286.83	Professional		$160.91	$207.85	$286.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $93.03 / $156.49	Facility		$44.84	$93.03	$156.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $89.30 / $139.72	Professional		$39.71	$89.30	$139.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $233.57 / $341.69	Professional		$132.84	$233.57	$341.69
United Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $226.85 / $380.77	Professional		$187.51	$226.85	$380.77