Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $162.62 / $199.91	Facility		$115.80	$162.62	$199.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $125.38 / $199.93	Professional		$111.35	$125.38	$199.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.83 / $209.39 / $233.96	Facility		$184.83	$209.39	$233.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $127.31 / $175.68	Professional		$114.14	$127.31	$175.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $257.36 / $350.94	Facility		$176.42	$257.36	$350.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $257.36 / $315.85	Professional		$198.87	$257.36	$315.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $233.96	Facility		$130.59	$130.59	$233.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $240.01	Professional		$95.33	$130.59	$240.01
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $112.96 / $157.10	Professional		$69.51	$112.96	$157.10