Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $189.16 / $1,180.14	Facility		$110.13	$189.16	$1,180.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $111.78 / $138.53	Professional		$110.13	$111.78	$138.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.47 / $430.08 / $504.64	Facility		$261.47	$430.08	$504.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $261.47 / $360.82	Professional		$168.28	$261.47	$360.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $99.90 / $152.36	Facility		$25.16	$99.90	$152.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $102.42 / $145.51	Professional		$24.01	$102.42	$145.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $241.02 / $390.55	Facility		$97.36	$241.02	$390.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $347.22 / $542.00	Professional		$159.15	$347.22	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $170.65 / $319.74	Professional		$118.83	$170.65	$319.74