Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $192.32 / $673.12	Facility		$157.69	$192.32	$673.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $157.69 / $182.70	Professional		$142.32	$157.69	$182.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.93 / $172.13 / $576.96	Facility		$151.93	$172.13	$576.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $76.93 / $192.32	Professional		$76.93	$76.93	$192.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $250.02 / $269.25	Facility		$192.32	$250.02	$269.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $230.78 / $288.48	Professional		$192.32	$230.78	$288.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $192.32 / $447.73	Facility		$125.01	$192.32	$447.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $173.03 / $279.00	Professional		$101.55	$173.03	$279.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $110.25 / $211.36	Professional		$80.77	$110.25	$211.36