Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $212.89 / $647.91	Facility		$151.80	$212.89	$647.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $151.80 / $175.86	Professional		$146.24	$151.80	$175.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $165.68 / $555.36	Facility		$146.24	$165.68	$555.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $736.00	Professional		$74.05	$74.05	$736.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $240.66 / $259.17	Facility		$185.12	$240.66	$259.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $222.14 / $277.68	Professional		$185.12	$222.14	$277.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $185.12 / $430.97	Facility		$120.33	$185.12	$430.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $166.75 / $268.00	Professional		$97.75	$166.75	$268.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $203.45	Professional		$77.75	$111.07	$203.45