Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $751.77 / $1,196.45	Facility		$168.73	$751.77	$1,196.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.18 / $172.18	Professional		$170.48	$172.18	$172.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $340.96 / $451.77	Facility		$170.48	$340.96	$451.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $170.48 / $242.08	Professional		$144.90	$170.48	$242.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $255.72	Facility		$170.48	$170.48	$255.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $213.10	Professional		$170.48	$170.48	$213.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $1,191.53	Facility		$170.48	$170.48	$1,191.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $1,370.93	Professional		$170.48	$170.48	$1,370.93
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $289.82	Professional		$170.48	$170.48	$289.82