Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $158.47 / $859.58	Facility		$152.66	$158.47	$859.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $154.60 / $193.25	Professional		$135.28	$154.60	$193.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $173.93 / $203.11	Facility		$87.55	$173.93	$203.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $87.55 / $87.55	Professional		$74.41	$87.55	$87.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $270.55 / $318.86	Facility		$212.58	$270.55	$318.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $251.23 / $324.66	Professional		$193.25	$251.23	$324.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $150.37 / $1,189.41	Facility		$125.61	$150.37	$1,189.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $216.91 / $931.47	Professional		$88.24	$216.91	$931.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $118.31 / $212.58	Professional		$83.68	$118.31	$212.58