Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $234.21 / $637.38	Facility		$141.63	$234.21	$637.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $141.63 / $155.46	Professional		$127.82	$141.63	$155.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $154.59 / $518.19	Facility		$136.46	$154.59	$518.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $172.73	Professional		$73.73	$73.73	$172.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $224.55 / $241.82	Facility		$172.73	$224.55	$241.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $207.28 / $259.10	Professional		$172.73	$207.28	$259.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $172.73 / $401.63	Facility		$119.83	$172.73	$401.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $157.44 / $261.86	Professional		$97.34	$157.44	$261.86
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $122.23 / $189.83	Professional		$72.55	$122.23	$189.83