Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.11 / $151.11 / $249.71	Facility		$151.11	$151.11	$249.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $151.11 / $181.65	Professional		$133.34	$151.11	$181.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.27 / $223.49 / $249.71	Facility		$197.27	$223.49	$249.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $266.83 / $362.39	Professional		$214.67	$266.83	$362.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.25 / $294.16 / $374.57	Facility		$212.25	$294.16	$374.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $274.68 / $337.11	Professional		$212.25	$274.68	$337.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $312.30 / $312.30	Facility		$249.71	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $342.93	Professional		$227.98	$312.30	$342.93
United Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $218.54 / $329.43	Professional		$139.99	$218.54	$329.43