Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $138.09 / $479.50	Facility		$112.34	$138.09	$479.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $112.34 / $326.58	Professional		$45.00	$112.34	$326.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $122.62 / $411.00	Facility		$108.23	$122.62	$411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $67.50	Professional		$50.00	$50.00	$67.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $164.40 / $191.80	Facility		$137.00	$164.40	$191.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $150.69 / $194.20	Professional		$137.00	$150.69	$194.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $137.00 / $318.60	Facility		$89.05	$137.00	$318.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $123.42 / $199.00	Professional		$66.00	$123.42	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $150.56	Professional		$57.54	$82.20	$150.56