Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $193.76 / $329.39	Facility		$189.75	$193.76	$329.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.35 / $228.49 / $387.52	Facility		$219.35	$228.49	$387.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $193.76 / $193.76	Professional		$164.69	$193.76	$193.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $210.56 / $310.02	Facility		$193.76	$210.56	$310.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $213.14 / $298.39	Professional		$193.76	$213.14	$298.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.45 / $193.76 / $193.76	Facility		$186.45	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $344.64 / $344.64	Professional		$193.76	$344.64	$344.64
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76