Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $98.16 / $200.38	Facility		$71.86	$98.16	$200.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $98.16 / $98.16	Professional		$77.97	$98.16	$98.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $196.32 / $260.12	Facility		$92.76	$196.32	$260.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $75.14 / $106.69	Professional		$63.86	$75.14	$106.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.97 / $117.79 / $32,809.68	Facility		$94.97	$117.79	$32,809.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $117.79 / $132.52	Professional		$98.16	$117.79	$132.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $96.58 / $225.94	Professional		$58.62	$96.58	$225.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $97.44 / $103.48	Professional		$86.23	$97.44	$103.48