Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $386.00 / $849.59	Facility		$211.11	$386.00	$849.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $211.11 / $243.14	Professional		$205.96	$211.11	$243.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $243.95 / $772.35	Facility		$203.39	$243.95	$772.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $126.40 / $179.48	Professional		$126.40	$126.40	$179.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $334.69 / $360.43	Facility		$257.45	$334.69	$360.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $308.94 / $386.18	Professional		$257.45	$308.94	$386.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $257.45 / $665.73	Facility		$206.60	$257.45	$665.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $322.70 / $630.74	Professional		$163.30	$322.70	$630.74
United Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $527.58	Facility		$257.45	$257.45	$527.58
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $282.94	Professional		$108.13	$154.47	$282.94