Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.35 / $227.69 / $692.97	Facility		$162.35	$227.69	$692.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $162.35 / $186.99	Professional		$146.51	$162.35	$186.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $178.19 / $593.97	Facility		$156.41	$178.19	$593.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $97.77 / $131.97	Professional		$97.77	$97.77	$131.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $257.39 / $277.19	Facility		$197.99	$257.39	$277.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $237.59 / $296.99	Professional		$197.99	$237.59	$296.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $197.99 / $511.45	Facility		$158.88	$197.99	$511.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $185.00 / $347.61	Professional		$129.06	$185.00	$347.61
United Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $197.99 / $197.99	Facility		$197.99	$197.99	$197.99
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $118.79 / $217.59	Professional		$83.16	$118.79	$217.59