Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $550.16 / $1,355.90	Facility		$197.75	$550.16	$1,355.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $184.27 / $195.79	Professional		$182.45	$184.27	$195.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $364.90 / $483.49	Facility		$182.45	$364.90	$483.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $182.45 / $259.07	Professional		$155.08	$182.45	$259.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $271.85	Facility		$182.45	$182.45	$271.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $209.82	Professional		$182.45	$182.45	$209.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Facility		$182.45	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $182.45 / $528.83	Professional		$173.78	$182.45	$528.83
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $268.75	Professional		$182.45	$182.45	$268.75