Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $225.27 / $350.00	Facility		$91.18	$225.27	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $92.67 / $115.20	Professional		$83.89	$92.67	$115.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $350.00 / $400.00	Facility		$89.76	$350.00	$400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $89.76 / $139.12	Professional		$78.51	$89.76	$139.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $76.13 / $123.23	Facility		$30.35	$76.13	$123.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $71.36 / $111.96	Professional		$28.75	$71.36	$111.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $350.00 / $350.00	Facility		$111.47	$350.00	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $115.99 / $212.73	Professional		$90.39	$115.99	$212.73
United Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $106.48 / $170.42	Professional		$86.79	$106.48	$170.42