Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $355.61 / $628.20	Facility		$176.54	$355.61	$628.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $176.54 / $195.87	Professional		$172.07	$176.54	$195.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $334.60 / $3,562.24	Facility		$124.39	$334.60	$3,562.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $124.39 / $176.63	Professional		$110.96	$124.39	$176.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $142.51 / $284.07	Facility		$102.82	$142.51	$284.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $142.51 / $273.55	Professional		$102.82	$142.51	$273.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $628.20 / $628.20	Facility		$77.58	$628.20	$628.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $215.29 / $420.47	Professional		$115.05	$215.29	$420.47
United Facility/Professional Facility Modifier Low / Median / High Price $656.15 / $656.15 / $983.15	Facility		$656.15	$656.15	$983.15
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $242.75 / $367.74	Professional		$139.44	$242.75	$367.74