Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.94 / $483.15 / $19,656.00	Facility		$173.94	$483.15	$19,656.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.94 / $173.94	Professional		$172.22	$173.94	$173.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $344.44 / $456.38	Facility		$172.22	$344.44	$456.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $172.22 / $244.55	Professional		$146.38	$172.22	$244.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $258.33	Facility		$172.22	$172.22	$258.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $215.28	Professional		$172.22	$172.22	$215.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Facility		$172.22	$172.22	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $172.22 / $433.73	Professional		$143.65	$172.22	$433.73
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $292.77	Professional		$172.22	$172.22	$292.77