Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $217.94 / $699.30	Facility		$155.40	$217.94	$699.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $155.40 / $180.03	Professional		$48.39	$155.40	$180.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $169.61 / $568.53	Facility		$148.12	$169.61	$568.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $36.43 / $98.16	Professional		$27.60	$36.43	$98.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $227.41 / $255.84	Facility		$189.51	$227.41	$255.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $217.94 / $268.63	Professional		$189.51	$217.94	$268.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $189.51 / $441.02	Facility		$73.70	$189.51	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $124.58 / $272.06	Professional		$34.43	$124.58	$272.06
United Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $79.59 / $159.87	Professional		$42.80	$79.59	$159.87