Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.88 / $189.88 / $383.64	Facility		$189.88	$189.88	$383.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $189.88 / $206.06	Professional		$153.46	$189.88	$206.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $343.36 / $383.64	Facility		$303.08	$343.36	$383.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.49 / $175.24 / $241.83	Professional		$168.49	$175.24	$241.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.45 / $402.82 / $537.10	Facility		$262.45	$402.82	$537.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $422.00 / $517.91	Professional		$326.08	$422.00	$517.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $383.64	Facility		$225.30	$225.30	$383.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $393.54	Professional		$164.47	$225.30	$393.54
United Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $460.37 / $460.37	Facility		$460.37	$460.37	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $176.96 / $253.71	Professional		$95.70	$176.96	$253.71