Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $117.16 / $246.18	Facility		$117.16	$117.16	$246.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $120.21 / $140.47	Professional		$117.16	$120.21	$140.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.48 / $220.33 / $246.18	Facility		$194.48	$220.33	$246.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $136.93 / $188.96	Professional		$123.34	$136.93	$188.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $270.80 / $369.27	Facility		$209.25	$270.80	$369.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $270.80 / $332.34	Professional		$209.25	$270.80	$332.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $246.18	Facility		$169.96	$169.96	$246.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $252.54	Professional		$124.07	$124.07	$252.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $122.82 / $172.04	Professional		$74.43	$122.82	$172.04