Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $403.92 / $577.29	Facility		$177.56	$403.92	$577.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $230.82	Professional		$177.56	$177.56	$230.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $355.10 / $470.53	Facility		$177.55	$355.10	$470.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $158.87 / $225.59	Professional		$135.03	$158.87	$225.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $264.56	Facility		$177.56	$177.56	$264.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $204.19	Professional		$177.56	$177.56	$204.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $174.44 / $454.71	Professional		$149.41	$174.44	$454.71
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $176.00 / $188.61	Professional		$155.75	$176.00	$188.61