Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.09 / $207.09 / $207.09	Facility		$207.09	$207.09	$207.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $206.14 / $221.20	Professional		$168.59	$206.14	$221.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $292.11 / $326.38	Facility		$257.83	$292.11	$326.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $241.32 / $318.54	Professional		$170.34	$241.32	$318.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $244.78 / $415.43	Facility		$31.37	$244.78	$415.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $235.41 / $391.66	Professional		$27.74	$235.41	$391.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $244.43 / $378.83	Professional		$178.43	$244.43	$378.83
United Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $165.73 / $241.32	Professional		$101.62	$165.73	$241.32