Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $294.69 / $500.97	Facility		$194.32	$294.69	$500.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $294.69 / $294.69	Professional		$275.55	$294.69	$294.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $347.51 / $589.38	Facility		$333.61	$347.51	$589.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $294.69 / $294.69	Professional		$250.48	$294.69	$294.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $320.22 / $471.50	Facility		$294.69	$320.22	$471.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $309.42 / $453.82	Professional		$294.69	$309.42	$453.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $459.00	Facility		$294.69	$294.69	$459.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $294.69 / $778.76	Professional		$97.26	$294.69	$778.76
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69