Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.53 / $128.53 / $259.70	Facility		$128.53	$128.53	$259.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $129.01 / $139.49	Professional		$123.59	$129.01	$139.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.16 / $232.43 / $259.70	Facility		$205.16	$232.43	$259.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $135.85 / $187.47	Professional		$126.69	$135.85	$187.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $285.67 / $389.55	Facility		$195.83	$285.67	$389.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $285.67 / $350.60	Professional		$220.75	$285.67	$350.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $259.70	Facility		$168.00	$168.00	$259.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $266.39	Professional		$122.64	$122.64	$266.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $126.45 / $174.38	Professional		$77.16	$126.45	$174.38