Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $201.71 / $647.24	Facility		$143.83	$201.71	$647.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $143.83 / $157.86	Professional		$126.79	$143.83	$157.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.57 / $156.97 / $526.20	Facility		$138.57	$156.97	$526.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $94.71	Professional		$70.16	$70.16	$94.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $210.48 / $245.56	Facility		$175.40	$210.48	$245.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $192.94 / $248.63	Professional		$175.40	$192.94	$248.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $175.40 / $408.33	Facility		$114.01	$175.40	$408.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $159.91 / $255.96	Professional		$92.61	$159.91	$255.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $192.76	Professional		$73.67	$105.24	$192.76