Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $147.53 / $463.14	Facility		$105.20	$147.53	$463.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $105.20 / $121.16	Professional		$67.98	$105.20	$121.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.35 / $115.46 / $384.87	Facility		$101.35	$115.46	$384.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $176.34	Professional		$63.35	$63.35	$176.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $153.94 / $179.61	Facility		$128.29	$153.94	$179.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $141.12 / $181.85	Professional		$128.29	$141.12	$181.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $128.29 / $332.03	Facility		$102.95	$128.29	$332.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $86.27 / $202.85	Professional		$76.62	$86.27	$202.85
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $101.95 / $140.99	Professional		$53.88	$101.95	$140.99