Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $619.17 / $653.24	Facility		$257.99	$619.17	$653.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $257.99 / $335.38	Professional		$195.00	$257.99	$335.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $515.98 / $683.67	Facility		$257.99	$515.98	$683.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $241.38 / $342.75	Professional		$197.36	$241.38	$342.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $384.41	Facility		$257.99	$257.99	$384.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $296.69	Professional		$257.99	$257.99	$296.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $697.40	Professional		$253.60	$253.60	$697.40
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $309.58	Professional		$257.99	$271.57	$309.58