Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $216.62 / $456.62	Facility		$211.34	$216.62	$456.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $211.34 / $292.50	Professional		$168.25	$211.34	$292.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.69 / $414.64 / $621.96	Facility		$217.69	$414.64	$621.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $211.47 / $291.82	Professional		$179.74	$211.47	$291.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.99 / $292.82 / $351.38	Facility		$157.99	$292.82	$351.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $292.82 / $336.74	Professional		$292.82	$292.82	$336.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $232.20 / $586.00	Professional		$188.33	$232.20	$586.00
United Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $410.24 / $410.24	Facility		$410.24	$410.24	$410.24
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $248.78	Professional		$207.32	$234.27	$248.78