Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $210.55	Facility		$104.21	$104.21	$210.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $108.22 / $120.25	Professional		$103.98	$108.22	$120.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.33 / $188.44 / $210.55	Facility		$166.33	$188.44	$210.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $122.85 / $169.53	Professional		$102.72	$122.85	$169.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.97 / $231.61 / $315.83	Facility		$178.97	$231.61	$315.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $231.61 / $284.24	Professional		$178.97	$231.61	$284.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $210.55	Facility		$136.19	$136.19	$210.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $215.99	Professional		$99.43	$136.19	$215.99
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $104.11 / $151.61	Professional		$67.08	$104.11	$151.61