Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $173.17 / $606.10	Facility		$142.00	$173.17	$606.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $142.00 / $164.51	Professional		$136.80	$142.00	$164.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $173.17 / $519.51	Facility		$136.80	$173.17	$519.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $161.55	Professional		$98.11	$98.11	$161.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $225.12 / $242.44	Facility		$173.17	$225.12	$242.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $207.80 / $259.76	Professional		$173.17	$207.80	$259.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.97 / $173.17 / $447.73	Facility		$138.97	$173.17	$447.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $212.09 / $389.63	Professional		$109.91	$212.09	$389.63
United Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $255.77	Facility		$173.17	$173.17	$255.77
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $213.52 / $316.89	Professional		$103.90	$213.52	$316.89