Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Professional		$169.82	$208.93	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $524.81	Facility		$398.11	$426.58	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $338.84	Professional		$147.91	$208.93	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $208.93	Facility		$100.00	$112.20	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $363.08	Professional		$147.91	$186.21	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $346.74	Professional		$147.91	$208.93	$346.74