Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $142.46 / $1,546.59	Facility		$68.38	$142.46	$1,546.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $69.41 / $87.26	Professional		$68.38	$69.41	$87.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $222.92 / $363.22	Facility		$115.50	$222.92	$363.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $115.50 / $164.01	Professional		$80.83	$115.50	$164.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $75.42 / $112.50	Facility		$15.17	$75.42	$112.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $84.50 / $106.07	Professional		$15.86	$84.50	$106.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $156.44 / $390.67	Facility		$77.31	$156.44	$390.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $152.10 / $250.35	Professional		$99.16	$152.10	$250.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $95.64 / $169.37	Professional		$73.56	$95.64	$169.37