Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.04 / $245.44 / $1,180.14	Facility		$148.04	$245.44	$1,180.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $148.04 / $158.22	Professional		$143.07	$148.04	$158.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.44 / $207.36 / $625.04	Facility		$107.44	$207.36	$625.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $107.44 / $152.56	Professional		$107.44	$107.44	$152.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $132.63 / $200.50	Facility		$21.60	$132.63	$200.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $133.44 / $188.80	Professional		$20.87	$133.44	$188.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.83 / $312.49 / $551.52	Facility		$136.83	$312.49	$551.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $163.83 / $344.91	Professional		$118.80	$163.83	$344.91
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $178.76 / $306.14	Professional		$129.41	$178.76	$306.14