Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $351.20	Facility		$206.59	$206.59	$351.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.62	Professional		$206.59	$206.59	$206.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $243.63 / $413.18	Facility		$233.88	$243.63	$413.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $206.59 / $206.59	Professional		$175.60	$206.59	$206.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $224.61 / $330.54	Facility		$206.59	$224.61	$330.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $227.25 / $318.14	Professional		$206.59	$227.25	$318.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.65 / $206.59 / $206.59	Facility		$202.65	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $206.59 / $380.50	Professional		$171.21	$206.59	$380.50
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.62	Professional		$206.59	$206.59	$206.62