Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $193.25 / $676.38	Facility		$158.47	$193.25	$676.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $158.47 / $178.84	Professional		$143.01	$158.47	$178.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $172.96 / $579.75	Facility		$152.66	$172.96	$579.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $150.94	Professional		$77.30	$77.30	$150.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $231.90 / $270.55	Facility		$193.25	$231.90	$270.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $212.58 / $273.93	Professional		$193.25	$212.58	$273.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $193.25 / $449.42	Facility		$125.61	$193.25	$449.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $175.97 / $281.66	Professional		$102.04	$175.97	$281.66
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $118.15 / $212.38	Professional		$81.17	$118.15	$212.38