Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $362.04 / $428.12	Facility		$164.60	$362.04	$428.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $164.60 / $235.20	Professional		$129.81	$164.60	$235.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $313.24 / $469.86	Facility		$164.45	$313.24	$469.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $159.75 / $215.66	Professional		$135.78	$159.75	$215.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.24 / $179.24 / $299.26	Facility		$179.24	$179.24	$299.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $179.24 / $179.24	Professional		$179.24	$179.24	$179.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $175.41 / $464.61	Professional		$164.18	$175.41	$464.61
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $188.04	Professional		$156.69	$177.07	$188.04