Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $182.62 / $4,846.00	Facility		$63.12	$182.62	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $142.69 / $202.52	Professional		$63.12	$142.69	$202.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $63.22 / $122.01	Facility		$63.22	$63.22	$122.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $100.51 / $171.81	Professional		$53.62	$100.51	$171.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $76.94 / $92.33	Facility		$61.55	$76.94	$92.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $217.01 / $258.44	Professional		$169.09	$217.01	$258.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $170.69 / $313.02	Professional		$69.69	$170.69	$313.02
United Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $204.63 / $322.69	Professional		$157.53	$204.63	$322.69