Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.72 / $866.23 / $1,180.14	Facility		$341.72	$866.23	$1,180.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $341.72 / $366.10	Professional		$63.34	$341.72	$366.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $524.55	Facility		$125.50	$125.50	$524.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $131.77 / $205.73	Professional		$125.50	$131.77	$205.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $18.51 / $28.10	Facility		$12.71	$18.51	$28.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $17.80 / $20.43	Professional		$14.24	$17.80	$20.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $120.76 / $290.50	Facility		$43.67	$120.76	$290.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $87.43 / $154.88	Professional		$63.75	$87.43	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $350.98 / $654.01	Professional		$92.22	$350.98	$654.01