Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $212.20 / $11,487.47	Facility		$203.58	$212.20	$11,487.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $226.18	Professional		$203.58	$203.58	$226.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.47 / $240.08 / $407.16	Facility		$230.47	$240.08	$407.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $203.58 / $203.58	Professional		$173.04	$203.58	$203.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $223.94 / $325.73	Facility		$203.58	$223.94	$325.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $213.76 / $292.66	Professional		$203.58	$213.76	$292.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $218.37	Facility		$203.58	$203.58	$218.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $206.09 / $406.56	Professional		$203.58	$206.09	$406.56
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $226.63	Professional		$203.58	$215.79	$226.63