Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $278.19 / $846.65	Facility		$198.36	$278.19	$846.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $198.36 / $229.81	Professional		$191.10	$198.36	$229.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $217.71 / $725.70	Facility		$191.10	$217.71	$725.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $119.46 / $164.85	Professional		$119.46	$119.46	$164.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $314.47 / $338.66	Facility		$241.90	$314.47	$338.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $290.27 / $362.85	Professional		$241.90	$290.27	$362.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.12 / $241.90 / $625.48	Facility		$194.12	$241.90	$625.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $174.10 / $353.00	Professional		$130.32	$174.10	$353.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $265.85	Professional		$101.60	$145.13	$265.85