Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $354.81	Facility		$162.18	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $380.19	Facility		$204.17	$245.47	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $331.13	Professional		$173.78	$186.21	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $323.59	Facility		$162.18	$245.47	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $524.81	Professional		$138.04	$204.17	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Facility		$194.98	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $218.78	Professional		$162.18	$186.21	$218.78