Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $313.85	Facility		$149.83	$149.83	$313.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $149.83 / $188.78	Professional		$133.31	$149.83	$188.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $176.84 / $176.84	Facility		$169.76	$176.84	$176.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $149.96 / $149.96	Professional		$127.46	$149.96	$149.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $143.87 / $258.97	Facility		$54.75	$143.87	$258.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $57.49 / $76.65	Professional		$53.81	$57.49	$76.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $164.66 / $164.66	Facility		$149.83	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $164.66 / $211.25	Professional		$133.05	$164.66	$211.25
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $169.07 / $176.27	Professional		$147.02	$169.07	$176.27