Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $260.20 / $578.42	Facility		$128.54	$260.20	$578.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $128.54 / $128.54	Professional		$116.00	$128.54	$128.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $470.25 / $851.00	Facility		$13.28	$470.25	$851.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.28 / $17.92	Professional		$11.28	$13.28	$17.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $203.78 / $250.80	Facility		$156.75	$203.78	$250.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $188.10 / $235.13	Professional		$156.75	$188.10	$235.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $296.50 / $611.67	Facility		$101.89	$296.50	$611.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $180.48 / $229.21	Professional		$17.53	$180.48	$229.21
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Facility		$156.75	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $172.27	Professional		$65.84	$94.05	$172.27