Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $253.85 / $772.59	Facility		$181.01	$253.85	$772.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $181.01 / $212.66	Professional		$174.38	$181.01	$212.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $198.67 / $662.22	Facility		$174.38	$198.67	$662.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $109.01 / $218.02	Professional		$109.01	$109.01	$218.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $286.95 / $309.04	Facility		$220.74	$286.95	$309.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $264.89 / $331.11	Professional		$220.74	$264.89	$331.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.14 / $220.74 / $570.98	Facility		$177.14	$220.74	$570.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $206.25 / $387.26	Professional		$143.88	$206.25	$387.26
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $132.44 / $242.59	Professional		$92.71	$132.44	$242.59