Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.87 / $147.87 / $310.70	Facility		$147.87	$147.87	$310.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $150.82 / $165.61	Professional		$147.87	$150.82	$165.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.45 / $278.08 / $310.70	Facility		$245.45	$278.08	$310.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $186.03 / $254.28	Professional		$155.66	$186.03	$254.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $341.77 / $458.73	Facility		$233.03	$341.77	$458.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $341.77 / $419.45	Professional		$264.10	$341.77	$419.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $310.70	Facility		$197.02	$197.02	$310.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $318.72	Professional		$143.82	$197.02	$318.72
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $155.00 / $229.88	Professional		$101.71	$155.00	$229.88