Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $124.87 / $437.05	Facility		$102.39	$124.87	$437.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $102.39 / $127.99	Professional		$94.32	$102.39	$127.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $111.76 / $374.61	Facility		$98.65	$111.76	$374.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $49.95 / $68.93	Professional		$43.29	$49.95	$68.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $162.33 / $174.82	Facility		$124.87	$162.33	$174.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $149.84 / $187.31	Professional		$124.87	$149.84	$187.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $124.87 / $290.08	Facility		$81.17	$124.87	$290.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $65.93 / $179.14	Professional		$55.58	$65.93	$179.14
United Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $124.87 / $124.87	Facility		$124.87	$124.87	$124.87
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $137.22	Professional		$52.45	$74.92	$137.22