Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $92.65 / $194.68	Facility		$92.65	$92.65	$194.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $95.06 / $96.87	Professional		$92.65	$95.06	$96.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.80 / $174.24 / $194.68	Facility		$153.80	$174.24	$194.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $132.76 / $179.22	Professional		$94.97	$132.76	$179.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $214.15 / $292.02	Facility		$146.78	$214.15	$292.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $214.15 / $262.82	Professional		$165.48	$214.15	$262.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $194.68	Facility		$67.73	$67.73	$194.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $199.71	Professional		$57.58	$67.73	$199.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $97.13 / $133.72	Professional		$57.85	$97.13	$133.72