Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $588.84	Facility		$128.82	$128.82	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $162.18	Facility		$0.02	$0.02	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $263.03	Professional		$138.04	$138.04	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $186.21	Facility		$93.33	$169.82	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $380.19	Professional		$138.04	$138.04	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Professional		$331.13	$331.13	$354.81