Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $203.84 / $620.38	Facility		$145.35	$203.84	$620.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $145.35 / $168.39	Professional		$140.03	$145.35	$168.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $159.53 / $531.75	Facility		$140.03	$159.53	$531.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $87.53 / $118.47	Professional		$87.53	$87.53	$118.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $230.43 / $248.15	Facility		$177.25	$230.43	$248.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $212.70 / $265.88	Professional		$177.25	$212.70	$265.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $177.25 / $457.79	Facility		$142.24	$177.25	$457.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $165.66 / $311.19	Professional		$115.54	$165.66	$311.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $106.35 / $194.80	Professional		$74.45	$106.35	$194.80