Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $190.18 / $449.87	Facility		$121.91	$190.18	$449.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $102.35	Professional		$99.97	$99.97	$102.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $121.91 / $440.00	Facility		$96.31	$121.91	$440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $440.00 / $846.27	Professional		$374.00	$440.00	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $158.47 / $237.72	Facility		$121.91	$158.47	$237.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $146.29 / $182.87	Professional		$121.91	$146.29	$182.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $121.91 / $271.50	Facility		$79.23	$121.91	$271.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $177.81 / $580.79	Professional		$148.41	$177.81	$580.79
United Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $133.97	Professional		$51.20	$73.15	$133.97