Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $193.53 / $791.73	Facility		$175.94	$193.53	$791.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $175.94	Professional		$175.94	$175.94	$175.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $210.75 / $485.64	Facility		$6.33	$210.75	$485.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $183.26	Professional		$6.33	$6.33	$183.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.44 / $13.57	Facility		$10.44	$10.44	$13.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $16.70	Professional		$10.44	$10.44	$16.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $186.93 / $514.05	Professional		$6.33	$186.93	$514.05
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $227.24	Professional		$183.26	$183.26	$227.24