Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $501.19	Facility		$162.18	$162.18	$501.19
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 $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $186.21	Professional		$162.18	$186.21	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $263.03	Facility		$162.18	$162.18	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $229.09	Professional		$162.18	$169.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $234.42 / $234.42	Facility		$204.17	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $691.83 / $691.83	Professional		$204.17	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Professional		$162.18	$194.98	$218.78