Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $115.04 / $232.43	Facility		$115.04	$115.04	$232.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $119.46 / $128.90	Professional		$112.94	$119.46	$128.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.62 / $208.02 / $232.43	Facility		$183.62	$208.02	$232.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $139.22 / $187.94	Professional		$113.37	$139.22	$187.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $255.67 / $347.70	Facility		$174.32	$255.67	$347.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $255.67 / $313.77	Professional		$197.57	$255.67	$313.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $232.43	Facility		$144.84	$144.84	$232.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $238.42	Professional		$105.73	$105.73	$238.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $115.64 / $171.22	Professional		$77.09	$115.64	$171.22