Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.58 / $350.00 / $598.88	Facility		$108.58	$350.00	$598.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $113.10 / $211.48	Professional		$96.62	$113.10	$211.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $350.00 / $464.39	Facility		$95.75	$350.00	$464.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $95.75 / $148.41	Professional		$87.45	$95.75	$148.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $106.31 / $167.28	Facility		$36.22	$106.31	$167.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $106.31 / $151.51	Professional		$34.65	$106.31	$151.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $350.00 / $350.00	Facility		$140.24	$350.00	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $147.09 / $280.58	Professional		$106.42	$147.09	$280.58
United Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Facility		$194.81	$194.81	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $141.78 / $250.93	Professional		$114.50	$141.78	$250.93