Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $204.19 / $655.20	Facility		$145.60	$204.19	$655.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $145.60 / $168.68	Professional		$140.27	$145.60	$168.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.27 / $158.91 / $532.67	Facility		$140.27	$158.91	$532.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $78.12 / $108.31	Professional		$71.02	$78.12	$108.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $213.07 / $239.71	Facility		$177.56	$213.07	$239.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $195.32 / $239.71	Professional		$177.56	$195.32	$239.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $177.56 / $413.35	Facility		$115.41	$177.56	$413.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $159.85 / $255.03	Professional		$82.11	$159.85	$255.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $88.78 / $177.56	Professional		$72.98	$88.78	$177.56