Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $208.80 / $570.52	Facility		$112.68	$208.80	$570.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $112.68 / $133.36	Professional		$102.34	$112.68	$133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $128.37 / $149.90	Facility		$57.05	$128.37	$149.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $57.05	Professional		$48.49	$57.05	$57.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $199.68 / $235.34	Facility		$156.88	$199.68	$235.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $185.42 / $239.62	Professional		$142.63	$185.42	$239.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $110.98 / $188.20	Facility		$92.71	$110.98	$188.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $164.02 / $687.48	Professional		$65.67	$164.02	$687.48
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $156.88	Professional		$59.90	$85.58	$156.88