Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $123.09 / $258.63	Facility		$123.09	$123.09	$258.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $123.09 / $128.01	Professional		$113.84	$123.09	$128.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.32 / $231.47 / $258.63	Facility		$204.32	$231.47	$258.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $137.44 / $189.68	Professional		$125.23	$137.44	$189.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $284.49 / $362.08	Facility		$193.97	$284.49	$362.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $284.49 / $349.15	Professional		$219.84	$284.49	$349.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $258.63	Facility		$175.58	$175.58	$258.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $251.74	Professional		$128.16	$175.58	$251.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $129.03 / $172.80	Professional		$69.34	$129.03	$172.80