Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $308.68 / $524.76	Facility		$306.80	$308.68	$524.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.45 / $364.01 / $617.36	Facility		$349.45	$364.01	$617.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $308.68 / $308.68	Professional		$262.37	$308.68	$308.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $335.33 / $493.89	Facility		$308.68	$335.33	$493.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $339.55 / $475.37	Professional		$308.68	$339.55	$475.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.94 / $308.68 / $308.68	Facility		$302.94	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.42 / $308.68 / $544.41	Professional		$241.42	$308.68	$544.41
United Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $308.68 / $308.68	Professional		$306.80	$308.68	$308.68