Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $231.38 / $254.63	Professional		$177.01	$231.38	$254.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.31 / $347.02 / $387.73	Facility		$306.31	$347.02	$387.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $210.49 / $284.16	Professional		$141.53	$210.49	$284.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $290.83 / $511.16	Facility		$36.26	$290.83	$511.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $329.57 / $536.72	Professional		$32.96	$329.57	$536.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $397.72	Professional		$202.44	$238.16	$397.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $182.08 / $253.37	Professional		$109.61	$182.08	$253.37