Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $165.61 / $347.98	Facility		$165.61	$165.61	$347.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $165.61 / $172.23	Professional		$129.16	$165.61	$172.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $311.44 / $347.98	Facility		$274.89	$311.44	$347.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $159.44 / $220.04	Professional		$156.75	$159.44	$220.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $365.38 / $487.17	Facility		$226.19	$365.38	$487.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $382.78 / $469.77	Professional		$295.77	$382.78	$469.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $347.98	Facility		$225.10	$225.10	$347.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $352.68	Professional		$164.32	$225.10	$352.68
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $195.31 / $196.18	Facility		$0.21	$195.31	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $173.60 / $230.13	Professional		$86.80	$173.60	$230.13