Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $269.10 / $819.00	Facility		$191.88	$269.10	$819.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $191.88 / $222.30	Professional		$173.16	$191.88	$222.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $209.43 / $702.00	Facility		$184.86	$209.43	$702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $52.78 / $88.24	Professional		$52.78	$52.78	$88.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $304.20 / $327.60	Facility		$234.00	$304.20	$327.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $280.80 / $351.00	Professional		$234.00	$280.80	$351.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $234.00 / $544.16	Facility		$152.10	$234.00	$544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $210.72 / $339.00	Professional		$69.67	$210.72	$339.00
United Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $257.17	Professional		$98.28	$140.40	$257.17