Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $912.01	Facility		$263.03	$407.38	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $251.19	Professional		$173.78	$213.80	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $776.25	Facility		$263.03	$263.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $190.55	Professional		$13.18	$14.79	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Facility		$234.42	$234.42	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $263.03	Facility		$169.82	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $239.88 / $478.63	Professional		$28.84	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $263.03	Facility		$117.49	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $263.03	Professional		$109.65	$154.88	$263.03