Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $364.34 / $671.54	Facility		$149.22	$364.34	$671.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Professional		$149.22	$149.22	$149.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $178.77 / $411.94	Facility		$51.96	$178.77	$411.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $51.96 / $132.31	Professional		$51.96	$51.96	$132.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $39.96 / $51.95	Facility		$39.96	$39.96	$51.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $39.96 / $63.94	Professional		$38.96	$39.96	$63.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $158.56 / $425.81	Professional		$51.96	$158.56	$425.81
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $192.76	Professional		$155.44	$155.44	$192.76