Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $143.34 / $436.24	Facility		$102.20	$143.34	$436.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $102.20 / $118.41	Professional		$92.23	$102.20	$118.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $111.55 / $373.92	Facility		$98.47	$111.55	$373.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $99.72	Professional		$49.86	$49.86	$99.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $162.03 / $174.50	Facility		$124.64	$162.03	$174.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $149.57 / $186.96	Professional		$124.64	$149.57	$186.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $124.64 / $278.06	Facility		$81.02	$124.64	$278.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $65.81 / $179.14	Professional		$36.43	$65.81	$179.14
United Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $52.35 / $136.97	Professional		$43.89	$52.35	$136.97