Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $227.84 / $386.17	Facility		$136.41	$227.84	$386.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $301.12 / $386.17	Professional		$136.41	$301.12	$386.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Facility		$405.72	$405.72	$405.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $267.24 / $267.24	Professional		$178.13	$267.24	$267.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.76 / $480.55 / $584.80	Facility		$291.76	$480.55	$584.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $414.99 / $686.50	Professional		$343.25	$414.99	$686.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.45 / $475.45 / $475.45	Facility		$475.45	$475.45	$475.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $1,955.57 / $1,955.57	Professional		$170.00	$1,955.57	$1,955.57
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $298.50 / $409.97	Professional		$202.41	$298.50	$409.97