Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $195.83 / $465.08	Facility		$186.53	$195.83	$465.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $195.83 / $246.74	Professional		$186.53	$195.83	$246.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.31 / $220.11 / $226.70	Facility		$211.31	$220.11	$226.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $186.66 / $186.66	Professional		$158.66	$186.66	$186.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $203.82 / $377.07	Facility		$53.33	$203.82	$377.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $56.00 / $82.13	Professional		$53.33	$56.00	$82.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $186.53 / $215.17	Facility		$68.40	$186.53	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $215.17 / $278.70	Professional		$149.30	$215.17	$278.70
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $226.70 / $232.66	Professional		$192.12	$226.70	$232.66