Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.80 / $126.80 / $266.44	Facility		$126.80	$126.80	$266.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $126.80 / $131.87	Professional		$105.66	$126.80	$131.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $238.46 / $266.44	Facility		$210.49	$238.46	$266.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $122.08 / $168.47	Professional		$120.02	$122.08	$168.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $279.76 / $373.02	Facility		$181.45	$279.76	$373.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.47 / $293.08 / $359.69	Professional		$226.47	$293.08	$359.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $266.44	Facility		$172.35	$172.35	$266.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $244.27	Professional		$125.82	$172.35	$244.27
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $150.19 / $158.11	Facility		$131.74	$150.19	$158.11
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $131.74 / $171.70	Professional		$66.45	$131.74	$171.70