Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $332.98 / $332.98	Facility		$149.83	$332.98	$332.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $149.83 / $244.50	Professional		$140.00	$149.83	$244.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $294.04 / $441.06	Facility		$154.37	$294.04	$441.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $149.96 / $208.80	Professional		$127.46	$149.96	$208.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $172.64	Facility		$57.56	$57.56	$172.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $57.56 / $63.32	Professional		$57.56	$57.56	$63.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $164.66 / $427.32	Professional		$146.52	$164.66	$427.32
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $166.13 / $176.42	Professional		$147.02	$166.13	$176.42