Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $293.14 / $554.72	Facility		$123.27	$293.14	$554.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $123.27 / $173.88	Professional		$111.24	$123.27	$173.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.76 / $134.55 / $450.99	Facility		$118.76	$134.55	$450.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $82.97	Professional		$60.13	$60.13	$82.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $195.43 / $210.46	Facility		$150.33	$195.43	$210.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $180.40 / $225.50	Professional		$150.33	$180.40	$225.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $284.27 / $586.14	Facility		$97.71	$284.27	$586.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $108.28 / $218.00	Professional		$67.67	$108.28	$218.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $165.21	Professional		$63.14	$90.20	$165.21