Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $171.77 / $701.13	Facility		$105.88	$171.77	$701.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $105.88 / $133.09	Professional		$91.45	$105.88	$133.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $103.62 / $435.94	Facility		$90.39	$103.62	$435.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $90.39 / $128.35	Professional		$81.89	$90.39	$128.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $101.83 / $142.16	Facility		$20.14	$101.83	$142.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $101.64 / $137.21	Professional		$17.82	$101.64	$137.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $214.60 / $949.08	Facility		$92.19	$214.60	$949.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $124.47 / $214.23	Professional		$91.42	$124.47	$214.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $111.79 / $182.46	Professional		$87.80	$111.79	$182.46