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 / $97.27	Professional		$77.81	$93.83	$97.27
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 / $45.77 / $129.13	Professional		$38.90	$45.77	$129.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $148.76 / $183.09	Facility		$114.43	$148.76	$183.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $137.32 / $171.65	Professional		$114.43	$137.32	$171.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $114.43 / $254.71	Facility		$74.38	$114.43	$254.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $139.65 / $167.32	Professional		$60.42	$139.65	$167.32
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $125.76	Professional		$48.06	$68.66	$125.76