Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $379.56 / $607.25	Facility		$164.42	$379.56	$607.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Professional		$164.42	$164.42	$164.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $328.84 / $435.71	Facility		$164.42	$328.84	$435.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $190.53 / $270.55	Professional		$161.94	$190.53	$270.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $246.63	Facility		$164.42	$164.42	$246.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $205.53	Professional		$164.42	$164.42	$205.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $219.62 / $575.29	Professional		$197.24	$219.62	$575.29
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.79 / $235.16	Professional		$164.42	$185.79	$235.16