Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $243.32 / $1,369.98	Facility		$66.48	$243.32	$1,369.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $246.40 / $283.36	Professional		$109.37	$246.40	$283.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $277.20 / $323.70	Facility		$42.13	$277.20	$323.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $70.22 / $123.20	Professional		$70.22	$70.22	$123.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $431.20 / $508.20	Facility		$369.60	$431.20	$508.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $415.80 / $616.00	Professional		$354.20	$415.80	$616.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $239.65 / $599.54	Facility		$200.20	$239.65	$599.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $268.43 / $1,484.56	Professional		$140.07	$268.43	$1,484.56
United Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $184.80 / $308.00	Professional		$96.74	$184.80	$308.00