Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $209.24 / $494.96	Facility		$134.13	$209.24	$494.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $109.99 / $114.01	Professional		$91.21	$109.99	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $402.39 / $728.19	Facility		$211.53	$402.39	$728.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $211.53 / $285.56	Professional		$179.80	$211.53	$285.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $174.37 / $261.55	Facility		$134.13	$174.37	$261.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $201.20	Professional		$134.13	$160.96	$201.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $134.13 / $299.23	Facility		$87.18	$134.13	$299.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $196.17 / $279.22	Professional		$163.72	$196.17	$279.22
United Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $134.13 / $160.96	Facility		$134.13	$134.13	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $147.41	Professional		$56.33	$80.48	$147.41