Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $166.99 / $337.40	Facility		$166.99	$166.99	$337.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $173.42 / $210.06	Professional		$160.57	$173.42	$210.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.55 / $301.97 / $337.40	Facility		$266.55	$301.97	$337.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $205.57 / $283.68	Professional		$164.60	$205.57	$283.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.79 / $382.39 / $506.10	Facility		$286.79	$382.39	$506.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.79 / $371.14 / $455.49	Professional		$286.79	$371.14	$455.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $337.40	Facility		$218.27	$218.27	$337.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $317.39	Professional		$159.34	$218.27	$317.39
United Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $168.32 / $248.56	Professional		$112.22	$168.32	$248.56