Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $338.84	Facility		$165.96	$165.96	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Professional		$162.18	$162.18	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $363.08	Facility		$190.55	$245.47	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $281.84	Professional		$134.90	$147.91	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $281.84	Facility		$141.25	$208.93	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $426.58	Professional		$141.25	$162.18	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $281.84	Facility		$234.42	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $181.97	Professional		$144.54	$162.18	$181.97