Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.14 / $277.80 / $1,546.59	Facility		$168.14	$277.80	$1,546.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $168.14 / $180.16	Professional		$164.50	$168.14	$180.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $299.45 / $707.18	Facility		$155.16	$299.45	$707.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $155.16 / $220.32	Professional		$139.84	$155.16	$220.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $155.21 / $227.89	Facility		$25.61	$155.21	$227.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $169.32 / $213.69	Professional		$26.77	$169.32	$213.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.65 / $390.67 / $621.76	Facility		$153.65	$390.67	$621.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $227.31 / $404.62	Professional		$175.09	$227.31	$404.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,158.73 / $1,158.73 / $1,158.73	Facility		$1,158.73	$1,158.73	$1,158.73
United Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $206.07 / $341.94	Professional		$159.81	$206.07	$341.94