Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $266.06 / $500.49	Facility		$111.22	$266.06	$500.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $112.54	Professional		$112.54	$112.54	$112.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $234.48 / $291.27	Facility		$120.36	$234.48	$291.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $90.00 / $124.20	Professional		$76.50	$90.00	$124.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.21 / $166.19 / $206.79	Facility		$164.21	$166.19	$206.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $164.21 / $205.27	Professional		$164.21	$164.21	$205.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $119.58 / $310.97	Professional		$98.85	$119.58	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $139.28	Professional		$117.24	$117.24	$139.28