Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.65 / $447.14 / $862.43	Facility		$191.65	$447.14	$862.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $195.70 / $195.70	Professional		$193.76	$195.70	$195.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $387.52 / $513.46	Facility		$193.76	$387.52	$513.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $193.76 / $275.13	Professional		$164.69	$193.76	$275.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $261.58	Facility		$193.76	$193.76	$261.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $242.20	Professional		$193.76	$193.76	$242.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Facility		$193.76	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $193.76 / $512.35	Professional		$172.25	$193.76	$512.35
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $240.26	Professional		$193.76	$193.76	$240.26