Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $119.59 / $393.82	Facility		$60.16	$119.59	$393.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $60.16 / $65.34	Professional		$53.03	$60.16	$65.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $65.67 / $220.11	Facility		$57.96	$65.67	$220.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $44.57	Professional		$30.18	$30.18	$44.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $88.04 / $102.72	Facility		$73.37	$88.04	$102.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $80.70 / $104.00	Professional		$73.37	$80.70	$104.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $73.37 / $171.05	Facility		$49.04	$73.37	$171.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $66.98 / $107.42	Professional		$39.84	$66.98	$107.42
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $90.47	Professional		$30.82	$44.02	$90.47