Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $234.03 / $712.25	Facility		$166.87	$234.03	$712.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $166.87 / $193.33	Professional		$150.59	$166.87	$193.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.77 / $182.13 / $610.50	Facility		$160.77	$182.13	$610.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $81.40 / $649.35	Professional		$81.40	$81.40	$649.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $264.55 / $284.89	Facility		$203.50	$264.55	$284.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $244.20 / $305.25	Professional		$203.50	$244.20	$305.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $203.50 / $473.72	Facility		$132.28	$203.50	$473.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $185.54 / $296.87	Professional		$107.45	$185.54	$296.87
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $124.42 / $223.65	Professional		$85.47	$124.42	$223.65