Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $103.90 / $209.91	Facility		$103.90	$103.90	$209.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $104.29 / $112.74	Professional		$99.90	$104.29	$112.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $187.87 / $209.91	Facility		$165.83	$187.87	$209.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $111.51 / $153.88	Professional		$82.48	$111.51	$153.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $230.90 / $314.87	Facility		$158.30	$230.90	$314.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $230.90 / $283.38	Professional		$178.42	$230.90	$283.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $209.91	Facility		$149.11	$149.11	$209.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $215.33	Professional		$108.85	$149.11	$215.33
United Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $100.35 / $141.97	Professional		$62.38	$100.35	$141.97