Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $1,047.13	Facility		$302.00	$467.74	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $295.12	Professional		$199.53	$245.47	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $912.01	Facility		$302.00	$302.00	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $251.19	Professional		$120.23	$120.23	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $302.00 / $549.54	Facility		$218.78	$302.00	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $562.34	Professional		$131.83	$269.15	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00