Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $233.15	Facility		$164.42	$164.42	$233.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $180.86	Professional		$164.42	$164.42	$180.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $224.68 / $328.84	Facility		$206.70	$224.68	$328.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $190.53 / $190.53	Professional		$161.94	$190.53	$190.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $180.86 / $263.07	Facility		$164.42	$180.86	$263.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $180.86 / $263.07	Professional		$164.42	$180.86	$263.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.40 / $207.55 / $219.62	Facility		$190.40	$207.55	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $219.62 / $499.45	Professional		$134.12	$219.62	$499.45
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $194.02 / $235.16	Professional		$164.42	$194.02	$235.16