Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $157.55 / $479.50	Facility		$112.34	$157.55	$479.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $112.34 / $130.15	Professional		$101.38	$112.34	$130.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $122.62 / $411.00	Facility		$108.23	$122.62	$411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $54.80 / $109.60	Professional		$54.80	$54.80	$109.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $178.10 / $191.80	Facility		$137.00	$178.10	$191.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $205.50	Professional		$137.00	$164.40	$205.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $137.00 / $305.07	Facility		$89.05	$137.00	$305.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $98.73 / $199.00	Professional		$59.67	$98.73	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $150.56	Professional		$57.54	$82.20	$150.56