Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $170.67 / $547.65	Facility		$121.70	$170.67	$547.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $121.70 / $140.99	Professional		$117.24	$121.70	$140.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $135.52 / $445.23	Facility		$117.24	$135.52	$445.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $76.87 / $123.12	Professional		$70.22	$76.87	$123.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $178.09 / $200.35	Facility		$148.41	$178.09	$200.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $170.67 / $210.37	Professional		$148.41	$170.67	$210.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $148.41 / $384.01	Facility		$107.87	$148.41	$384.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $170.57 / $309.30	Professional		$80.95	$170.57	$309.30
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $89.05 / $148.41	Professional		$62.33	$89.05	$148.41