Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.70 / $287.70 / $287.70	Facility		$287.70	$287.70	$287.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $288.70 / $351.52	Professional		$112.50	$288.70	$351.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $790.49	Facility		$250.00	$250.00	$790.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $255.00 / $337.50	Professional		$212.50	$255.00	$337.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $217.32 / $440.80	Facility		$126.44	$217.32	$440.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $200.60 / $386.32	Professional		$124.95	$200.60	$386.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $356.11 / $515.09	Professional		$230.44	$356.11	$515.09
United Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $307.17 / $471.33	Professional		$245.94	$307.17	$471.33