Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $221.45 / $501.35	Facility		$135.86	$221.45	$501.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $98.21 / $125.04	Professional		$72.01	$98.21	$125.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.33 / $122.27 / $407.58	Facility		$107.33	$122.27	$407.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $37.79 / $70.37	Professional		$28.63	$37.79	$70.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $163.03 / $183.41	Facility		$135.86	$163.03	$183.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $156.24 / $192.58	Professional		$135.86	$156.24	$192.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $135.86 / $351.32	Facility		$99.42	$135.86	$351.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $122.16 / $195.14	Professional		$76.12	$122.16	$195.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $63.40 / $127.35	Professional		$32.61	$63.40	$127.35