Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $149.90 / $430.16	Facility		$106.89	$149.90	$430.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $106.89 / $123.11	Professional		$104.28	$106.89	$123.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $124.23 / $391.05	Facility		$102.98	$124.23	$391.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $91.40	Professional		$64.37	$64.37	$91.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $169.46 / $182.49	Facility		$130.35	$169.46	$182.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $156.41 / $195.53	Professional		$130.35	$156.41	$195.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.60 / $130.35 / $337.05	Facility		$104.60	$130.35	$337.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $159.63 / $296.19	Professional		$81.73	$159.63	$296.19
United Facility/Professional Facility Modifier Low / Median / High Price $408.12 / $408.12 / $408.12	Facility		$408.12	$408.12	$408.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $143.25	Professional		$54.75	$78.20	$143.25