Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $230.17 / $1,295.98	Facility		$133.72	$230.17	$1,295.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $233.09 / $268.05	Professional		$197.93	$233.09	$268.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $262.22 / $306.22	Facility		$67.06	$262.22	$306.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $111.79 / $118.59	Professional		$99.05	$111.79	$118.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $407.90 / $480.74	Facility		$320.50	$407.90	$480.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $378.77 / $489.48	Professional		$291.36	$378.77	$489.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $226.71 / $544.91	Facility		$189.38	$226.71	$544.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $308.11 / $1,404.36	Professional		$133.00	$308.11	$1,404.36
United Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $175.08 / $320.50	Professional		$174.82	$175.08	$320.50