Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $283.95 / $911.12	Facility		$202.47	$283.95	$911.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $202.47 / $234.57	Professional		$195.07	$202.47	$234.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.07 / $220.99 / $740.76	Facility		$195.07	$220.99	$740.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $23.02 / $127.90	Professional		$14.82	$23.02	$127.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $308.64 / $5,439.86	Facility		$246.92	$308.64	$5,439.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $271.61 / $333.34	Professional		$246.92	$271.61	$333.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $246.92 / $466.46	Facility		$160.50	$246.92	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $302.42 / $354.66	Professional		$283.73	$302.42	$354.66
United Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Facility		$246.92	$246.92	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $222.23	Professional		$103.71	$148.15	$222.23