Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $222.24 / $676.38	Facility		$158.47	$222.24	$676.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $158.47 / $173.93	Professional		$143.01	$158.47	$173.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $172.96 / $579.75	Facility		$152.66	$172.96	$579.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $106.67	Professional		$77.30	$77.30	$106.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $251.23 / $270.55	Facility		$193.25	$251.23	$270.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $289.88	Professional		$193.25	$231.90	$289.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $193.25 / $449.42	Facility		$125.61	$193.25	$449.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $134.41 / $277.23	Professional		$84.32	$134.41	$277.23
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Facility		$193.25	$193.25	$193.25
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $212.38	Professional		$81.17	$115.95	$212.38