Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $125.91 / $383.22	Facility		$109.49	$125.91	$383.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $89.78 / $115.04	Professional		$86.50	$89.78	$115.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $98.54 / $328.47	Facility		$86.50	$98.54	$328.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $40.31 / $66.23	Professional		$30.54	$40.31	$66.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $131.38 / $147.81	Facility		$109.49	$131.38	$147.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $125.91 / $155.19	Professional		$109.49	$125.91	$155.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $109.49 / $254.88	Facility		$71.17	$109.49	$254.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $125.55 / $161.06	Professional		$50.87	$125.55	$161.06
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $65.69 / $98.54	Professional		$45.99	$65.69	$98.54