Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $162.63 / $341.73	Facility		$162.63	$162.63	$341.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $166.86 / $177.03	Professional		$162.63	$166.86	$177.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.97 / $305.85 / $341.73	Facility		$269.97	$305.85	$341.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $201.58 / $272.20	Professional		$166.71	$201.58	$272.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.30 / $375.90 / $506.00	Facility		$256.30	$375.90	$506.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.47 / $375.90 / $461.34	Professional		$290.47	$375.90	$461.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $341.73	Facility		$221.07	$221.07	$341.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $350.19	Professional		$161.38	$221.07	$350.19
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $170.48 / $241.52	Professional		$105.88	$170.48	$241.52