Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $145.29 / $701.13	Facility		$87.35	$145.29	$701.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $87.64 / $109.68	Professional		$69.14	$87.64	$109.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $71.98 / $367.59	Facility		$70.80	$71.98	$367.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $70.80 / $100.53	Professional		$64.37	$70.80	$100.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $83.22 / $119.93	Facility		$19.94	$83.22	$119.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $79.58 / $116.06	Professional		$17.66	$79.58	$116.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.37 / $175.19 / $949.08	Facility		$75.37	$175.19	$949.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $90.95 / $178.21	Professional		$69.20	$90.95	$178.21
United Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $90.24 / $149.55	Professional		$73.05	$90.24	$149.55