Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $207,668.95	Facility		$225.11	$225.11	$207,668.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.19	Professional		$225.11	$225.11	$225.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.84 / $265.45 / $450.22	Facility		$254.84	$265.45	$450.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $225.11 / $225.11	Professional		$191.34	$225.11	$225.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $244.64 / $360.18	Facility		$225.11	$244.64	$360.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $247.62 / $346.67	Professional		$225.11	$247.62	$346.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.09 / $225.11 / $225.11	Facility		$222.09	$225.11	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $417.38 / $417.38	Professional		$225.11	$417.38	$417.38
United Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $224.97	Facility		$224.97	$224.97	$224.97
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11