Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $232.76 / $708.40	Facility		$165.97	$232.76	$708.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $165.97 / $192.28	Professional		$149.78	$165.97	$192.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.90 / $181.15 / $607.20	Facility		$159.90	$181.15	$607.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $80.95 / $288.77	Professional		$80.95	$80.95	$288.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $263.12 / $283.36	Facility		$202.40	$263.12	$283.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $303.60	Professional		$202.40	$242.88	$303.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $202.40 / $471.22	Facility		$131.56	$202.40	$471.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $182.14 / $290.64	Professional		$106.87	$182.14	$290.64
United Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Facility		$202.40	$202.40	$202.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $117.27 / $222.44	Professional		$85.01	$117.27	$222.44