Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $103.63 / $217.74	Facility		$103.63	$103.63	$217.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $106.32 / $121.09	Professional		$103.63	$106.32	$121.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.01 / $194.88 / $217.74	Facility		$172.01	$194.88	$217.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $132.08 / $179.63	Professional		$109.09	$132.08	$179.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $239.51 / $326.61	Facility		$163.31	$239.51	$326.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $239.51 / $293.95	Professional		$185.08	$239.51	$293.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $217.74	Facility		$140.85	$140.85	$217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $223.36	Professional		$102.82	$102.82	$223.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $108.63 / $163.66	Professional		$72.42	$108.63	$163.66