Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $141.93 / $688.96	Facility		$112.52	$141.93	$688.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $118.58 / $133.25	Professional		$108.46	$118.58	$133.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $130.15 / $151.99	Facility		$90.02	$130.15	$151.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $70.62 / $214.25	Professional		$60.02	$70.62	$214.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $202.45 / $238.61	Facility		$173.53	$202.45	$238.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.30 / $195.22 / $289.22	Professional		$166.30	$195.22	$289.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $112.52 / $297.22	Facility		$94.00	$112.52	$297.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $204.86 / $800.59	Professional		$66.62	$204.86	$800.59
United Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $174.14 / $231.67	Professional		$89.66	$174.14	$231.67