Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $416.87 / $1,288.25	Facility		$181.97	$416.87	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Professional		$181.97	$181.97	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $398.11	Facility		$213.80	$269.15	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $346.74	Professional		$181.97	$181.97	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $363.08	Facility		$181.97	$269.15	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $478.63	Professional		$181.97	$181.97	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $346.74	Facility		$151.36	$151.36	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09