Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $578.16	Facility		$272.08	$272.08	$578.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $355.67	Professional		$272.08	$272.08	$355.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $183.83 / $389.70	Facility		$176.47	$183.83	$389.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $155.88 / $155.88	Professional		$132.49	$155.88	$155.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $336.70 / $62,999.37	Facility		$160.71	$336.70	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $133.91 / $289.08	Professional		$89.28	$133.91	$289.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $330.39	Facility		$289.08	$289.08	$330.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $289.08 / $369.26	Professional		$190.36	$289.08	$369.26
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42