Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $562.34	Facility		$162.18	$251.19	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $177.83	Professional		$64.57	$131.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $489.78	Facility		$162.18	$162.18	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $120.23	Professional		$37.15	$58.88	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $204.17	Facility		$95.50	$95.50	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $120.23 / $234.42	Facility		$38.02	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $234.42	Professional		$42.66	$74.13	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $162.18 / $162.18	Facility		$56.23	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $162.18	Professional		$54.95	$67.61	$162.18