Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $274.85 / $402.08	Facility		$127.55	$274.85	$402.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $127.55 / $208.00	Professional		$95.22	$127.55	$208.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $240.12 / $360.18	Facility		$126.06	$240.12	$360.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $122.46 / $169.20	Professional		$104.09	$122.46	$169.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $74.83	Facility		$57.56	$57.56	$74.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $57.56 / $71.95	Professional		$57.56	$57.56	$71.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $134.47 / $352.72	Professional		$118.92	$134.47	$352.72
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $144.07	Professional		$120.06	$134.99	$144.07