Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $322.45 / $807.68	Facility		$102.90	$322.45	$807.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $125.49 / $130.96	Professional		$100.39	$125.49	$130.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $125.49 / $376.47	Facility		$99.14	$125.49	$376.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $119.70	Professional		$70.62	$70.62	$119.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $163.13 / $175.69	Facility		$125.49	$163.13	$175.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $150.59 / $188.24	Professional		$125.49	$150.59	$188.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $125.49 / $321.98	Facility		$100.02	$125.49	$321.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $153.69 / $338.18	Professional		$79.14	$153.69	$338.18
United Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $354.63	Facility		$125.49	$125.49	$354.63
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $150.59 / $229.65	Professional		$75.29	$150.59	$229.65