Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $199.58	Facility		$140.75	$140.75	$199.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $154.82	Professional		$140.75	$140.75	$154.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.09 / $173.79 / $281.50	Facility		$166.09	$173.79	$281.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $147.37 / $147.37	Professional		$125.26	$147.37	$147.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $154.83 / $225.20	Facility		$140.75	$154.83	$225.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $154.83 / $216.76	Professional		$140.75	$154.83	$216.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.12 / $161.82 / $207.55	Facility		$147.12	$161.82	$207.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $161.82 / $320.06	Professional		$134.12	$161.82	$320.06
United Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $166.15 / $173.08	Professional		$140.75	$166.15	$173.08