Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $226.72	Facility		$112.22	$112.22	$226.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $115.59 / $121.78	Professional		$107.90	$115.59	$121.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.11 / $202.91 / $226.72	Facility		$179.11	$202.91	$226.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $132.15 / $178.78	Professional		$110.60	$132.15	$178.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $249.39 / $325.29	Facility		$170.04	$249.39	$325.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $249.39 / $306.07	Professional		$192.71	$249.39	$306.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $226.72	Facility		$135.51	$135.51	$226.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $232.57	Professional		$98.92	$135.51	$232.57
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $108.39 / $163.01	Professional		$72.13	$108.39	$163.01