Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $190.45 / $611.10	Facility		$135.80	$190.45	$611.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $135.80 / $157.33	Professional		$117.57	$135.80	$157.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $149.05 / $496.83	Facility		$130.83	$149.05	$496.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $71.66 / $117.27	Professional		$65.15	$71.66	$117.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $198.73 / $223.57	Facility		$165.61	$198.73	$223.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $190.45 / $234.75	Professional		$165.61	$190.45	$234.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $165.61 / $385.70	Facility		$107.65	$165.61	$385.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $190.39 / $289.63	Professional		$85.08	$190.39	$289.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.37 / $165.61	Professional		$69.56	$99.37	$165.61