Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $290.18 / $1,318.30	Facility		$182.45	$290.18	$1,318.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $202.69	Professional		$182.45	$182.45	$202.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $215.15 / $364.90	Facility		$206.54	$215.15	$364.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $182.45 / $182.45	Professional		$155.08	$182.45	$182.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $200.70 / $291.92	Facility		$182.45	$200.70	$291.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $191.57 / $280.97	Professional		$182.45	$191.57	$280.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $191.52	Facility		$182.45	$182.45	$191.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $217.56 / $357.48	Professional		$182.45	$217.56	$357.48
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 / $182.45	Professional		$182.45	$182.45	$182.45