Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $211.11 / $1,145.14	Facility		$203.39	$211.11	$1,145.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.39 / $205.96 / $257.45	Professional		$203.39	$205.96	$257.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.26 / $257.45 / $353.88	Facility		$160.26	$257.45	$353.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $353.88 / $353.88	Professional		$127.14	$353.88	$353.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $360.43 / $424.79	Facility		$308.94	$360.43	$424.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $347.56 / $514.90	Professional		$296.07	$347.56	$514.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $200.32 / $556.82	Facility		$167.34	$200.32	$556.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $328.24 / $1,240.91	Professional		$119.18	$328.24	$1,240.91
United Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $212.33 / $353.88	Professional		$111.48	$212.33	$353.88