Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $212.98 / $648.20	Facility		$151.86	$212.98	$648.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $151.86 / $175.94	Professional		$137.05	$151.86	$175.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $165.75 / $555.60	Facility		$146.31	$165.75	$555.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $148.16	Professional		$74.08	$74.08	$148.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $240.76 / $259.27	Facility		$185.20	$240.76	$259.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $185.20 / $413.08	Facility		$120.38	$185.20	$413.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $133.40 / $269.00	Professional		$80.70	$133.40	$269.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $203.53	Professional		$77.78	$111.12	$203.53