Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $115.37 / $160.59	Facility		$98.83	$115.37	$160.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $131.78 / $182.56	Professional		$98.83	$131.78	$182.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $504.07 / $504.07 / $504.07	Professional	25	$504.07	$504.07	$504.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $155.83 / $300.75	Facility		$155.83	$155.83	$300.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $155.83 / $209.93	Professional		$103.82	$155.83	$209.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.35 / $184.10 / $234.30	Facility		$144.35	$184.10	$234.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $184.10 / $217.57	Professional		$167.36	$184.10	$217.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $139.61 / $395.80	Professional		$107.60	$139.61	$395.80
United Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $161.69 / $221.33	Professional		$126.44	$161.69	$221.33