Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $127.42 / $224.35	Facility		$127.42	$127.42	$224.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $127.42 / $149.44	Professional		$119.80	$127.42	$149.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $200.79 / $224.35	Facility		$177.24	$200.79	$224.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $197.68 / $266.31	Professional		$167.45	$197.68	$266.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.67 / $246.79 / $336.53	Facility		$183.67	$246.79	$336.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $246.79 / $302.87	Professional		$190.70	$246.79	$302.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $224.35	Facility		$214.95	$214.95	$224.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $279.39	Professional		$156.91	$214.95	$279.39
United Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $171.25 / $232.16	Professional		$107.85	$171.25	$232.16