Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.49 / $503.66 / $965.21	Facility		$214.49	$503.66	$965.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $215.98	Professional		$213.84	$215.97	$215.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $427.68 / $566.67	Facility		$213.84	$427.68	$566.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $213.84 / $303.64	Professional		$181.76	$213.84	$303.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $288.68	Facility		$213.84	$213.84	$288.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $267.30	Professional		$213.84	$213.84	$267.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $213.84 / $577.12	Professional		$206.15	$213.84	$577.12
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $265.16	Professional		$213.84	$213.84	$265.16