Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $616.60	Facility		$173.78	$275.42	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $169.82	Professional		$114.82	$144.54	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $524.81	Facility		$173.78	$173.78	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $147.91	Professional		$70.79	$70.79	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $316.23	Facility		$125.89	$173.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $331.13	Professional		$75.86	$158.49	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78