Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $323.59	Professional		$186.21	$281.84	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $645.65	Facility		$407.38	$512.86	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $575.44	Professional		$354.81	$371.54	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $562.34 / $851.14	Facility		$75.86	$562.34	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $575.44	Professional		$263.03	$309.03	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $173.78 / $331.13	Facility		$22.91	$173.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $331.13	Professional		$141.25	$239.88	$331.13