Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $1,174.90	Facility		$154.88	$275.42	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $302.00	Professional		$151.36	$165.96	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,230.27 / $1,621.81	Facility		$162.18	$1,230.27	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $263.03	Professional		$162.18	$177.83	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $131.83 / $162.18	Facility		$30.90	$131.83	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $239.88 / $407.38	Facility		$208.93	$239.88	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $446.68	Professional		$177.83	$229.09	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $354.81	Professional		$177.83	$223.87	$354.81