Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $376.97 / $736.07	Facility		$163.57	$376.97	$736.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $167.49 / $167.49	Professional		$165.83	$167.49	$167.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $331.66 / $439.45	Facility		$165.83	$331.66	$439.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $165.83 / $235.47	Professional		$140.94	$165.83	$235.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $225.57	Facility		$165.83	$165.83	$225.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $207.29	Professional		$165.83	$165.83	$207.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Facility		$165.83	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $165.83 / $431.94	Professional		$133.10	$165.83	$431.94
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $205.63	Professional		$165.83	$165.83	$205.63