Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $164.03 / $526.32	Facility		$116.96	$164.03	$526.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $116.96 / $121.24	Professional		$105.55	$116.96	$121.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $127.65 / $427.89	Facility		$112.68	$127.65	$427.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.92 / $7.99	Professional		$5.03	$5.92	$7.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $185.42 / $228.21	Facility		$142.63	$185.42	$228.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $213.95	Professional		$142.63	$171.16	$213.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $142.63 / $318.20	Facility		$92.71	$142.63	$318.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $173.80 / $208.23	Professional		$7.81	$173.80	$208.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $156.75	Professional		$59.90	$85.58	$156.75