Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $279.69	Facility		$133.11	$133.11	$279.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $136.57 / $159.72	Professional		$133.11	$136.57	$159.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.96 / $250.32 / $279.69	Facility		$220.96	$250.32	$279.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $170.68 / $230.41	Professional		$140.13	$170.68	$230.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $307.66 / $419.54	Facility		$209.77	$307.66	$419.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $307.66 / $377.58	Professional		$237.74	$307.66	$377.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $279.69	Facility		$174.77	$174.77	$279.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $286.91	Professional		$127.58	$174.77	$286.91
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $139.54 / $210.24	Professional		$93.02	$139.54	$210.24