Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $282.29 / $648.00	Facility		$275.39	$282.29	$648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $540.00 / $747.90	Facility		$0.02	$540.00	$747.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $275.39 / $371.79	Professional		$229.84	$275.39	$371.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.73 / $382.73 / $552.83	Facility		$382.73	$382.73	$552.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.73 / $382.73 / $440.13	Professional		$382.73	$382.73	$440.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $831.60	Professional		$302.39	$302.39	$831.60
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $279.49 / $324.00	Professional		$247.34	$279.49	$324.00