Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $428.23 / $866.98	Facility		$215.43	$428.23	$866.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $215.43 / $223.31	Professional		$194.41	$215.43	$223.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $788.16 / $1,426.31	Facility		$13.28	$788.16	$1,426.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.28 / $205.82	Professional		$11.28	$13.28	$205.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $341.54 / $420.35	Facility		$262.72	$341.54	$420.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $315.26 / $394.08	Professional		$262.72	$315.26	$394.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $496.42 / $1,024.15	Facility		$170.77	$496.42	$1,024.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $301.89 / $383.42	Professional		$17.53	$301.89	$383.42
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $157.63 / $288.99	Professional		$110.34	$157.63	$288.99