Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.54 / $297.54 / $297.54	Facility		$297.54	$297.54	$297.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $297.54 / $314.99	Professional		$254.19	$297.54	$314.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.07 / $426.06 / $476.04	Facility		$376.07	$426.06	$476.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $375.06 / $495.07	Professional		$266.26	$375.06	$495.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $357.03 / $618.85	Facility		$44.34	$357.03	$618.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $324.80 / $571.25	Professional		$40.47	$324.80	$571.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $510.97	Professional		$281.80	$331.53	$510.97
United Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $238.09 / $377.20	Professional		$158.72	$238.09	$377.20