Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $238.41 / $725.59	Facility		$169.99	$238.41	$725.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $169.99 / $196.94	Professional		$163.77	$169.99	$196.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $185.54 / $621.92	Facility		$163.77	$185.54	$621.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $62.55 / $102.38	Professional		$62.55	$62.55	$102.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $269.50 / $290.23	Facility		$207.31	$269.50	$290.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $310.97	Professional		$207.31	$248.77	$310.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $207.31 / $535.77	Facility		$166.36	$207.31	$535.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $193.72 / $363.75	Professional		$82.57	$193.72	$363.75
United Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $248.77	Facility		$207.31	$207.31	$248.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $155.56 / $227.83	Professional		$87.07	$155.56	$227.83