Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $173.66 / $607.80	Facility		$142.40	$173.66	$607.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $142.40 / $173.66	Professional		$128.51	$142.40	$173.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $173.66 / $520.98	Facility		$137.19	$173.66	$520.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $94.23 / $145.27	Professional		$94.23	$94.23	$145.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $225.76 / $243.12	Facility		$173.66	$225.76	$243.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $208.39 / $260.49	Professional		$173.66	$208.39	$260.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $173.66 / $430.13	Facility		$133.47	$173.66	$430.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $212.69 / $390.74	Professional		$105.51	$212.69	$390.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $190.23 / $313.70	Professional		$104.20	$190.23	$313.70