Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.13 / $191.12 / $1,036.72	Facility		$184.13	$191.12	$1,036.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $191.12 / $450.00	Professional		$184.13	$191.12	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $209.76 / $244.96	Facility		$145.09	$209.76	$244.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $304.81	Professional		$106.20	$106.20	$304.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $326.30 / $384.57	Facility		$279.68	$326.30	$384.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $326.30 / $466.14	Professional		$268.02	$326.30	$466.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $181.35 / $465.12	Facility		$151.50	$181.35	$465.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $246.49 / $1,123.40	Professional		$107.27	$246.49	$1,123.40
United Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $156.16 / $293.38	Professional		$100.92	$156.16	$293.38