Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.77 / $111.77 / $225.84	Facility		$111.77	$111.77	$225.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $116.07 / $121.30	Professional		$107.48	$116.07	$121.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.41 / $202.13 / $225.84	Facility		$178.41	$202.13	$225.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $134.43 / $181.48	Professional		$110.00	$134.43	$181.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.38 / $248.42 / $338.76	Facility		$169.38	$248.42	$338.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $248.42 / $304.88	Professional		$191.96	$248.42	$304.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $225.84	Facility		$141.12	$141.12	$225.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $231.67	Professional		$103.02	$103.02	$231.67
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $112.67 / $166.37	Professional		$75.11	$112.67	$166.37