Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.05 / $192.50 / $929.30	Facility		$165.05	$192.50	$929.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $167.14 / $193.33	Professional		$165.05	$167.14	$193.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.58 / $188.03 / $219.57	Facility		$90.58	$188.03	$219.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $150.97 / $150.97	Professional		$103.17	$150.97	$150.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $292.49 / $344.72	Facility		$250.70	$292.49	$344.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $282.04 / $417.84	Professional		$240.26	$282.04	$417.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $162.56 / $451.86	Facility		$135.80	$162.56	$451.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $220.87 / $1,006.99	Professional		$96.27	$220.87	$1,006.99
United Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $167.14 / $285.02	Professional		$90.46	$167.14	$285.02