Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $439.20 / $997.53	Facility		$186.53	$439.20	$997.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $195.83 / $279.32	Professional		$105.00	$195.83	$279.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.73 / $384.24 / $576.36	Facility		$201.73	$384.24	$576.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $186.66 / $257.58	Professional		$158.66	$186.66	$257.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $271.26 / $420.45	Facility		$56.07	$271.26	$420.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $70.09	Professional		$56.07	$56.07	$70.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $215.17 / $563.64	Professional		$179.19	$215.17	$563.64
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $217.10 / $230.54	Professional		$192.12	$217.10	$230.54