Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $156.97 / $335.02	Facility		$149.50	$156.97	$335.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $156.97 / $204.07	Professional		$106.40	$156.97	$204.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $307.80 / $461.70	Facility		$161.60	$307.80	$461.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $149.50 / $212.29	Professional		$127.07	$149.50	$212.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $41.75 / $54.28	Facility		$41.75	$41.75	$54.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $41.75 / $66.80	Professional		$41.75	$41.75	$66.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $172.37 / $429.94	Professional		$94.43	$172.37	$429.94
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $184.68	Professional		$149.63	$153.90	$184.68