Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $715.92 / $1,315.53	Facility		$292.33	$715.92	$1,315.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $292.33	Professional		$292.33	$292.33	$292.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $410.12 / $790.50	Facility		$205.06	$410.12	$790.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $205.06 / $298.30	Professional		$174.30	$205.06	$298.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.21 / $242.44 / $380.30	Facility		$192.21	$242.44	$380.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $285.23 / $320.88	Professional		$231.75	$285.23	$320.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $310.61 / $854.18	Professional		$205.06	$310.61	$854.18
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $398.47	Professional		$298.30	$298.30	$398.47