Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.33 / $109.85 / $352.49	Facility		$78.33	$109.85	$352.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $78.33 / $90.74	Professional		$70.54	$78.33	$90.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $85.97 / $286.56	Facility		$75.45	$85.97	$286.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $43.85 / $104.79	Professional		$39.86	$43.85	$104.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $114.62 / $128.94	Facility		$95.52	$114.62	$128.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $109.85 / $135.40	Professional		$95.52	$109.85	$135.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $95.52 / $222.19	Facility		$64.79	$95.52	$222.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $109.86 / $137.32	Professional		$51.19	$109.86	$137.32
United Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $95.52 / $95.52	Facility		$33.43	$95.52	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $57.31 / $104.98	Professional		$40.11	$57.31	$104.98