Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $426.58	Facility		$213.80	$213.80	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $407.38	Facility		$239.88	$251.19	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $338.84	Facility		$213.80	$213.80	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $302.00	Professional		$213.80	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $316.23	Facility		$213.80	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80