Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.19 / $127.19 / $256.98	Facility		$127.19	$127.19	$256.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $127.19 / $138.03	Professional		$122.30	$127.19	$138.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $230.00 / $256.98	Facility		$203.01	$230.00	$256.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $137.22 / $189.37	Professional		$125.36	$137.22	$189.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $282.68 / $359.77	Facility		$192.74	$282.68	$359.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $282.68 / $346.92	Professional		$218.43	$282.68	$346.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $256.98	Facility		$166.23	$166.23	$256.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $254.52	Professional		$121.35	$166.23	$254.52
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $122.85 / $175.13	Professional		$76.95	$122.85	$175.13