Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $515.71 / $22,989.12	Facility		$205.62	$515.71	$22,989.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $205.62 / $205.62	Professional		$203.58	$205.62	$205.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $407.16 / $539.49	Facility		$203.58	$407.16	$539.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $203.58 / $289.08	Professional		$173.04	$203.58	$289.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $282.20	Facility		$203.58	$203.58	$282.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $234.12	Professional		$203.58	$203.58	$234.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $554.50	Facility		$203.58	$203.58	$554.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $590.91	Professional		$203.58	$203.58	$590.91
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $226.63 / $271.94	Professional		$203.58	$226.63	$271.94