Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $1,148.15	Facility		$331.13	$512.86	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $316.23	Professional		$218.78	$269.15	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $977.24	Facility		$331.13	$331.13	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $275.42	Professional		$69.18	$131.83	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $331.13	Facility		$263.03	$331.13	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $457.09	Professional		$331.13	$363.08	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $478.63	Facility		$239.88	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $630.96	Professional		$144.54	$295.12	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13