Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $519.09 / $638.46	Facility		$198.98	$519.09	$638.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $141.88 / $173.03	Professional		$117.66	$141.88	$173.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $519.09 / $939.38	Facility		$304.00	$519.09	$939.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $258.39 / $348.11	Professional		$170.00	$258.39	$348.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $224.94 / $2,542.98	Facility		$173.03	$224.94	$2,542.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $190.33 / $259.55	Professional		$173.03	$190.33	$259.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $327.07 / $674.25	Facility		$112.47	$327.07	$674.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $248.83 / $271.25	Professional		$199.07	$248.83	$271.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $103.82 / $173.03	Professional		$72.67	$103.82	$173.03