Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $418.99 / $5,375.80	Facility		$177.58	$418.99	$5,375.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $183.03 / $183.03	Professional		$181.22	$183.03	$183.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $362.44 / $480.23	Facility		$181.22	$362.44	$480.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $181.22 / $257.33	Professional		$154.03	$181.22	$257.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $199.34 / $271.83	Facility		$181.22	$199.34	$271.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $199.34 / $199.34	Professional		$199.34	$199.34	$199.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Facility		$181.22	$181.22	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $480.10	Professional		$181.22	$181.22	$480.10
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $226.62	Professional		$181.22	$181.22	$226.62