Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $148.72 / $477.23	Facility		$106.05	$148.72	$477.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $106.05 / $122.86	Professional		$90.86	$106.05	$122.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $116.40 / $387.99	Facility		$102.17	$116.40	$387.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $51.73 / $88.97	Professional		$41.55	$51.73	$88.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $155.19 / $174.60	Facility		$129.33	$155.19	$174.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $148.72 / $183.33	Professional		$129.33	$148.72	$183.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $129.33 / $301.01	Facility		$84.06	$129.33	$301.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $148.68 / $185.85	Professional		$51.36	$148.68	$185.85
United Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $68.73 / $116.40	Professional		$52.61	$68.73	$116.40