Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.01 / $335.38 / $1,173.83	Facility		$275.01	$335.38	$1,173.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $275.01 / $318.61	Professional		$264.95	$275.01	$318.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.95 / $300.17 / $1,006.14	Facility		$264.95	$300.17	$1,006.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $107.17 / $532.67	Professional		$107.17	$107.17	$532.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $435.99 / $469.53	Facility		$335.38	$435.99	$469.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $402.46 / $503.07	Professional		$335.38	$402.46	$503.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.13 / $335.38 / $866.95	Facility		$269.13	$335.38	$866.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $313.33 / $588.26	Professional		$141.46	$313.33	$588.26
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $201.23 / $368.58	Professional		$140.86	$201.23	$368.58