Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $167.02 / $167.02	Facility		$167.02	$167.02	$167.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $135.83 / $174.76	Professional		$102.95	$135.83	$174.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $227.66 / $254.37	Facility		$200.95	$227.66	$254.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $238.63 / $314.99	Professional		$195.98	$238.63	$314.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $206.68 / $364.73	Facility		$25.44	$206.68	$364.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $200.32 / $340.36	Professional		$21.62	$200.32	$340.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $314.99	Professional		$141.36	$166.31	$314.99
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $133.69 / $240.24	Professional		$85.11	$133.69	$240.24