Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $202.90 / $409.96	Facility		$202.90	$202.90	$409.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $202.90 / $220.19	Professional		$172.46	$202.90	$220.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $366.91 / $409.96	Facility		$323.87	$366.91	$409.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $192.71 / $265.93	Professional		$189.47	$192.71	$265.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $430.46 / $573.94	Facility		$275.02	$430.46	$573.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $450.96 / $553.45	Professional		$348.47	$450.96	$553.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $409.96	Facility		$268.08	$268.08	$409.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $358.97	Professional		$195.70	$268.08	$358.97
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $195.98 / $273.92	Professional		$107.62	$195.98	$273.92