Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $870.96	Facility		$251.19	$389.05	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $245.47	Professional		$186.21	$204.17	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $758.58	Facility		$251.19	$251.19	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $181.97	Professional		$54.95	$72.44	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $316.23	Facility		$204.17	$204.17	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $501.19	Facility		$162.18	$251.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $223.87 / $524.81	Professional		$72.44	$223.87	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $251.19	Facility		$112.20	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $251.19	Professional		$104.71	$128.82	$251.19