Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $201.03 / $645.03	Facility		$143.34	$201.03	$645.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $143.34 / $148.59	Professional		$129.36	$143.34	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.10 / $156.44 / $524.42	Facility		$138.10	$156.44	$524.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $79.40 / $127.83	Professional		$57.73	$79.40	$127.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $227.25 / $279.70	Facility		$174.81	$227.25	$279.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $262.22	Professional		$174.81	$209.77	$262.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $174.81 / $389.73	Facility		$113.63	$174.81	$389.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $212.76 / $254.91	Professional		$104.81	$212.76	$254.91
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $192.12	Professional		$73.42	$104.89	$192.12