Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $190.85 / $385.60	Facility		$190.85	$190.85	$385.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $190.85 / $207.11	Professional		$154.15	$190.85	$207.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.62 / $345.11 / $385.60	Facility		$304.62	$345.11	$385.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $172.61 / $238.20	Professional		$169.35	$172.61	$238.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.64 / $404.88 / $539.84	Facility		$250.64	$404.88	$539.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.76 / $424.16 / $520.55	Professional		$327.76	$424.16	$520.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $385.60	Facility		$180.71	$180.71	$385.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $395.54	Professional		$131.91	$180.71	$395.54
United Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $186.37 / $257.64	Professional		$96.18	$186.37	$257.64