Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $505.05 / $1,068.38	Facility		$265.48	$505.05	$1,068.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $265.48 / $291.38	Professional		$161.88	$265.48	$291.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.76 / $291.38 / $971.25	Facility		$255.76	$291.38	$971.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $93.98 / $193.92	Professional		$69.76	$93.98	$193.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $356.13 / $453.25	Facility		$323.75	$356.13	$453.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $339.94 / $437.06	Professional		$210.44	$339.94	$437.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $323.75 / $752.92	Facility		$210.44	$323.75	$752.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $372.11 / $465.14	Professional		$83.54	$372.11	$465.14
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $135.97 / $291.38	Professional		$98.80	$135.97	$291.38