Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $299.58 / $961.25	Facility		$213.61	$299.58	$961.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $213.61 / $247.48	Professional		$189.71	$213.61	$247.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.80 / $233.15 / $781.50	Facility		$205.80	$233.15	$781.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $104.20	Professional		$13.28	$13.28	$104.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $312.60 / $364.70	Facility		$260.50	$312.60	$364.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $286.55 / $377.73	Professional		$260.50	$286.55	$377.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $492.14	Facility		$260.50	$260.50	$492.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $299.43 / $378.00	Professional		$17.53	$299.43	$378.00
United Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $260.50	Facility		$260.50	$260.50	$260.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $286.29	Professional		$109.41	$156.30	$286.29