Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $162.18 / $645.65	Facility		$40.74	$162.18	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $269.15	Professional		$83.18	$102.33	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $134.90	Facility		$114.82	$128.82	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $177.83	Professional		$151.36	$177.83	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $245.47	Facility		$128.82	$177.83	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $204.17	Professional		$128.82	$165.96	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $275.42 / $275.42	Facility		$83.18	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $190.55 / $616.60	Professional		$64.57	$190.55	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $173.78	Professional		$54.95	$104.71	$173.78