Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $288.91 / $683.37	Facility		$151.86	$288.91	$683.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $151.86 / $159.27	Professional		$96.30	$151.86	$159.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $165.75 / $555.60	Facility		$146.31	$165.75	$555.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $102.23	Professional		$74.08	$74.08	$102.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $240.76 / $259.27	Facility		$185.20	$240.76	$259.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $350.30 / $722.78	Facility		$120.38	$350.30	$722.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $133.40 / $269.00	Professional		$83.38	$133.40	$269.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $203.53	Professional		$77.78	$111.12	$203.53