Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $247.48 / $494.96	Facility		$141.88	$247.48	$494.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $109.99 / $114.01	Professional		$91.21	$109.99	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $402.39 / $728.19	Facility		$279.68	$402.39	$728.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.72 / $279.68 / $369.17	Professional		$237.72	$279.68	$369.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $174.37 / $214.61	Facility		$134.13	$174.37	$214.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $201.20	Professional		$134.13	$160.96	$201.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $253.71 / $523.57	Facility		$87.18	$253.71	$523.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $196.17 / $369.18	Professional		$154.46	$196.17	$369.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $147.41	Professional		$56.33	$80.48	$147.41