Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $201.71 / $613.90	Facility		$143.83	$201.71	$613.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $143.83 / $166.63	Professional		$129.80	$143.83	$166.63
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 / $140.32	Professional		$70.16	$70.16	$140.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $228.02 / $245.56	Facility		$175.40	$228.02	$245.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $263.10	Professional		$175.40	$210.48	$263.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $175.40 / $391.19	Facility		$114.01	$175.40	$391.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $126.37 / $254.00	Professional		$76.47	$126.37	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $192.76	Professional		$73.67	$105.24	$192.76