Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $147.07 / $297.13	Facility		$147.07	$147.07	$297.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $147.07 / $159.59	Professional		$141.41	$147.07	$159.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.73 / $265.93 / $297.13	Facility		$234.73	$265.93	$297.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $157.80 / $217.76	Professional		$144.94	$157.80	$217.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.85 / $326.83 / $415.98	Facility		$222.85	$326.83	$415.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $326.83 / $401.13	Professional		$252.56	$326.83	$401.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $297.13	Facility		$190.78	$190.78	$297.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $302.20	Professional		$139.27	$190.78	$302.20
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $140.97 / $198.53	Professional		$86.76	$140.97	$198.53