Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $317.18 / $349.90	Facility		$317.18	$317.18	$349.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $317.18 / $317.18	Professional		$119.13	$317.18	$317.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.26 / $298.25 / $333.24	Facility		$263.26	$298.25	$333.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $146.31 / $219.50	Professional		$146.31	$146.31	$219.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.98 / $349.90 / $415.03	Facility		$251.98	$349.90	$415.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $314.98 / $385.39	Professional		$289.77	$314.98	$385.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $102.40 / $102.40	Facility		$102.40	$102.40	$102.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $193.13 / $341.83	Professional		$193.13	$193.13	$341.83
United Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $260.82 / $399.89	Professional		$110.83	$260.82	$399.89