Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $201.03 / $611.84	Facility		$143.34	$201.03	$611.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $143.34 / $148.59	Professional		$104.89	$143.34	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.10 / $156.44 / $524.42	Facility		$138.10	$156.44	$524.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $96.48	Professional		$69.92	$69.92	$96.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $209.77 / $244.73	Facility		$174.81	$209.77	$244.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $192.29 / $247.79	Professional		$174.81	$192.29	$247.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $174.81 / $406.64	Facility		$113.63	$174.81	$406.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $121.65 / $250.90	Professional		$76.31	$121.65	$250.90
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $192.12	Professional		$73.42	$104.89	$192.12