Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.03 / $234.03 / $1,819.04	Facility		$234.03	$234.03	$1,819.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $234.03 / $242.63	Professional		$213.59	$234.03	$242.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $400.32 / $1,819.04	Facility		$291.14	$400.32	$1,819.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $211.73 / $292.18	Professional		$169.38	$211.73	$292.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $279.93 / $354.67	Facility		$192.18	$279.93	$354.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $258.39 / $372.41	Professional		$226.10	$258.39	$372.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.04 / $1,819.04 / $1,819.04	Facility		$1,819.04	$1,819.04	$1,819.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Professional		$264.00	$264.00	$264.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $196.39 / $221.71	Professional		$120.94	$196.39	$221.71