Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $383.78 / $1,224.35	Facility		$272.08	$383.78	$1,224.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $282.27	Professional		$272.08	$272.08	$282.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $325.93 / $751.06	Facility		$155.88	$325.93	$751.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $155.88 / $233.82	Professional		$132.49	$155.88	$233.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.79 / $114.79 / $144.55	Facility		$114.79	$114.79	$144.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $114.79 / $143.49	Professional		$114.79	$114.79	$143.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $476.96	Facility		$289.08	$289.08	$476.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $289.08 / $439.75	Professional		$155.00	$289.08	$439.75
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $354.42	Professional		$283.42	$283.42	$354.42