Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $257.04 / $2,511.89	Facility		$181.97	$257.04	$2,511.89
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 $204.17 / $213.80 / $346.74	Facility		$204.17	$213.80	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $288.40	Facility		$181.97	$181.97	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $251.19	Professional		$181.97	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $263.03	Facility		$181.97	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $776.25 / $776.25	Professional		$181.97	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97