Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $954.99	Facility		$275.42	$426.58	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $263.03	Professional		$181.97	$223.87	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $831.76	Facility		$275.42	$275.42	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $218.78	Professional		$109.65	$109.65	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $275.42 / $275.42	Facility		$218.78	$275.42	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $489.78	Professional		$144.54	$251.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42