Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $166.72 / $1,180.14	Facility		$97.67	$166.72	$1,180.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $99.06 / $113.25	Professional		$97.67	$99.06	$113.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $320.98 / $419.90	Facility		$166.31	$320.98	$419.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $166.31 / $236.16	Professional		$133.04	$166.31	$236.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $83.85 / $134.62	Facility		$25.26	$83.85	$134.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $94.73 / $128.25	Professional		$26.29	$94.73	$128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $205.07 / $333.12	Facility		$82.81	$205.07	$333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $212.30 / $357.29	Professional		$138.81	$212.30	$357.29
United Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $144.44 / $235.30	Professional		$105.69	$144.44	$235.30