Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $632.88 / $1,173.33	Facility		$260.74	$632.88	$1,173.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $260.74	Professional		$260.74	$260.74	$260.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.93 / $543.20 / $677.43	Facility		$279.93	$543.20	$677.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $211.50 / $291.87	Professional		$179.77	$211.50	$291.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.99 / $384.99 / $470.55	Facility		$384.99	$384.99	$470.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.99 / $384.99 / $481.24	Professional		$384.99	$384.99	$481.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $596.97	Facility		$277.02	$277.02	$596.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.57 / $277.02 / $739.67	Professional		$253.57	$277.02	$739.67
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $339.64	Professional		$271.60	$271.60	$339.64