Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $151.68 / $854.02	Facility		$83.67	$151.68	$854.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $153.60 / $176.64	Professional		$83.67	$153.60	$176.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $107.98 / $107.98	Facility		$107.98	$107.98	$107.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $107.98	Professional		$33.47	$33.47	$107.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $268.80 / $316.80	Facility		$186.20	$268.80	$316.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $240.00 / $384.00	Professional		$220.80	$240.00	$384.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $149.40 / $385.41	Facility		$124.80	$149.40	$385.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $100.46 / $925.44	Professional		$38.77	$100.46	$925.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $83.67 / $192.00	Professional		$50.20	$83.67	$192.00