Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $136.16 / $475.02	Facility		$105.56	$136.16	$475.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $105.56 / $132.94	Professional		$102.98	$105.56	$132.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.70 / $122.69 / $386.19	Facility		$101.70	$122.69	$386.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $85.81	Professional		$63.57	$63.57	$85.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $167.35 / $180.22	Facility		$128.72	$167.35	$180.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $154.47 / $193.10	Professional		$128.72	$154.47	$193.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $128.72 / $332.87	Facility		$103.30	$128.72	$332.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $92.70 / $221.55	Professional		$81.65	$92.70	$221.55
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $141.60	Professional		$54.07	$77.23	$141.60