Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $170.48 / $289.82	Facility		$167.06	$170.48	$289.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $201.04 / $340.96	Facility		$193.00	$201.04	$340.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $170.48 / $170.48	Professional		$144.90	$170.48	$170.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $185.25 / $272.77	Facility		$170.48	$185.25	$272.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $187.53 / $262.54	Professional		$170.48	$187.53	$262.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $490.62	Facility		$170.48	$170.48	$490.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $408.54 / $944.74	Professional		$170.48	$408.54	$944.74
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48