Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $86.21 / $485.39	Facility		$69.41	$86.21	$485.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $87.30 / $100.99	Professional		$76.39	$87.30	$100.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $98.22 / $114.70	Facility		$45.66	$98.22	$114.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $53.89 / $76.09	Professional		$48.50	$53.89	$76.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $152.78 / $180.06	Facility		$130.96	$152.78	$180.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $147.33 / $218.26	Professional		$125.50	$147.33	$218.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $84.91 / $291.41	Facility		$70.93	$84.91	$291.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $115.28 / $526.01	Professional		$50.21	$115.28	$526.01
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $89.33 / $148.88	Professional		$45.83	$89.33	$148.88