Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $676.08	Facility		$213.80	$288.40	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $173.78	Professional		$120.23	$151.36	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $549.54	Facility		$186.21	$186.21	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $354.81	Professional		$194.98	$229.09	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,691.53 / $4,073.80	Facility		$177.83	$2,691.53	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $724.44	Facility		$120.23	$120.23	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $562.34	Professional		$213.80	$269.15	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21