Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $178.51 / $422.24	Facility		$114.43	$178.51	$422.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $93.83 / $114.43	Professional		$77.81	$93.83	$114.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $102.41 / $343.29	Facility		$90.40	$102.41	$343.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.21 / $83.99	Professional		$38.90	$57.21	$83.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $143.04 / $2,524.04	Facility		$114.43	$143.04	$2,524.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $125.87 / $154.47	Professional		$114.43	$125.87	$154.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $114.43 / $216.42	Facility		$74.38	$114.43	$216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $140.13 / $164.68	Professional		$131.75	$140.13	$164.68
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $96.53	Professional		$48.06	$68.66	$96.53