Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $279.80	Facility		$164.59	$164.59	$279.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $207.38	Professional		$164.59	$164.59	$207.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.32 / $194.09 / $329.18	Facility		$186.32	$194.09	$329.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $164.59 / $164.59	Professional		$139.90	$164.59	$164.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $178.93 / $263.33	Facility		$164.59	$178.93	$263.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $181.05 / $253.47	Professional		$164.59	$181.05	$253.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $198.80	Facility		$164.59	$164.59	$198.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $170.49 / $317.39	Professional		$164.59	$170.49	$317.39
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59