Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.99 / $214.62 / $751.17	Facility		$175.99	$214.62	$751.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $175.99 / $203.89	Professional		$158.82	$175.99	$203.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.55 / $192.08 / $643.86	Facility		$169.55	$192.08	$643.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $85.85 / $158.59	Professional		$85.85	$85.85	$158.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $279.01 / $300.47	Facility		$214.62	$279.01	$300.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $257.54 / $321.93	Professional		$214.62	$257.54	$321.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $214.62 / $499.73	Facility		$139.50	$214.62	$499.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $195.41 / $313.13	Professional		$113.32	$195.41	$313.13
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $235.87	Professional		$90.14	$128.77	$235.87