Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $213.84 / $363.53	Facility		$212.36	$213.84	$363.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $269.43	Professional		$213.84	$213.84	$269.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.09 / $252.18 / $427.68	Facility		$242.09	$252.18	$427.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $213.84 / $213.84	Professional		$181.76	$213.84	$213.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $232.35 / $342.14	Facility		$213.84	$232.35	$342.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $235.22 / $329.31	Professional		$213.84	$235.22	$329.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.91 / $213.84 / $213.84	Facility		$209.91	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $393.16 / $393.16	Professional		$213.84	$393.16	$393.16
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84