Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.14 / $293.31 / $892.68	Facility		$209.14	$293.31	$892.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.74 / $209.14 / $242.30	Professional		$188.74	$209.14	$242.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.49 / $228.27 / $765.15	Facility		$201.49	$228.27	$765.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $102.02 / $200.00	Professional		$102.02	$102.02	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $331.57 / $357.07	Facility		$255.05	$331.57	$357.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $306.06 / $382.58	Professional		$255.05	$306.06	$382.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $255.05 / $593.62	Facility		$165.78	$255.05	$593.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $229.56 / $371.88	Professional		$134.66	$229.56	$371.88
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $117.83 / $280.30	Professional		$105.83	$117.83	$280.30