Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.84 / $156.35 / $156.35	Facility		$143.84	$156.35	$156.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $142.00 / $142.00	Professional		$120.70	$142.00	$142.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.81 / $225.96 / $321.55	Facility		$173.81	$225.96	$321.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $191.19 / $279.42	Professional		$128.75	$191.19	$279.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $148.50 / $148.50	Facility		$85.00	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $151.01 / $157.00	Professional		$148.50	$151.01	$157.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $187.57	Professional		$158.96	$158.96	$187.57