Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $524.81 / $1,023.29	Facility		$223.87	$524.81	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Professional		$223.87	$223.87	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $489.78	Facility		$263.03	$338.84	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $436.52	Professional		$223.87	$223.87	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $446.68	Facility		$223.87	$338.84	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $602.56	Facility		$223.87	$223.87	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $602.56	Professional		$223.87	$223.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $436.52	Facility		$223.87	$223.87	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15