Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $424.62 / $961.25	Facility		$213.61	$424.62	$961.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $213.61 / $221.43	Professional		$192.77	$213.61	$221.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $781.50 / $1,414.25	Facility		$260.50	$781.50	$1,414.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $286.55	Professional		$48.49	$57.05	$286.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $338.65 / $416.80	Facility		$260.50	$338.65	$416.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $312.60 / $390.75	Professional		$260.50	$312.60	$390.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $492.14 / $1,016.49	Facility		$169.33	$492.14	$1,016.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $319.05 / $760.71	Professional		$299.43	$319.05	$760.71
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $286.29	Professional		$109.41	$156.30	$286.29