Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.16 / $105.41 / $338.22	Facility		$75.16	$105.41	$338.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $75.16 / $86.57	Professional		$72.41	$75.16	$86.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $82.49 / $274.98	Facility		$72.41	$82.49	$274.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $45.27 / $800.00	Professional		$38.47	$45.27	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $119.16 / $178.74	Facility		$91.66	$119.16	$178.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $109.99 / $137.49	Professional		$91.66	$109.99	$137.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $91.66 / $204.35	Facility		$59.58	$91.66	$204.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $111.63 / $133.75	Professional		$59.76	$111.63	$133.75
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $100.73	Professional		$38.50	$55.00	$100.73