Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $283.20 / $509.76	Facility		$113.28	$283.20	$509.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $113.28 / $113.28	Professional		$113.28	$113.28	$113.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.91 / $193.82 / $271.39	Facility		$96.91	$193.82	$271.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $116.25 / $165.07	Professional		$98.81	$116.25	$165.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $167.27 / $226.56	Facility		$153.33	$167.27	$226.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $192.35 / $225.81	Professional		$167.27	$192.35	$225.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $120.36 / $330.99	Professional		$118.58	$120.36	$330.99
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $200.60	Professional		$118.00	$118.00	$200.60