Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $489.78	Facility		$165.96	$275.42	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $239.88	Professional		$134.90	$162.18	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $213.80	Facility		$169.82	$204.17	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $380.19	Facility		$204.17	$281.84	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $331.13	Professional		$218.78	$263.03	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $323.59	Facility		$131.83	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $323.59 / $977.24	Professional		$93.33	$323.59	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $204.17	Professional		$85.11	$120.23	$204.17