Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.46 / $104.46 / $211.05	Facility		$104.46	$104.46	$211.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $104.46 / $114.50	Professional		$96.43	$104.46	$114.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $188.89 / $211.05	Facility		$166.73	$188.89	$211.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $105.61 / $145.74	Professional		$101.55	$105.61	$145.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $232.16 / $316.58	Facility		$165.80	$232.16	$316.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $232.16 / $284.92	Professional		$179.39	$232.16	$284.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $211.05	Facility		$144.01	$144.01	$211.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.01 / $190.75	Professional		$105.13	$144.01	$190.75
United Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $99.10 / $137.21	Professional		$57.68	$99.10	$137.21