Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.04 / $166.04 / $348.89	Facility		$166.04	$166.04	$348.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $167.22 / $172.68	Professional		$148.84	$167.22	$172.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.62 / $312.26 / $348.89	Facility		$275.62	$312.26	$348.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $183.72 / $253.53	Professional		$170.20	$183.72	$253.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $375.90 / $488.45	Facility		$255.61	$375.90	$488.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $383.78 / $471.00	Professional		$296.56	$383.78	$471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $348.89	Facility		$225.68	$225.68	$348.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $330.79	Professional		$164.75	$225.68	$330.79
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $174.06 / $233.12	Professional		$100.02	$174.06	$233.12