Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $365.23 / $1,130.28	Facility		$164.84	$365.23	$1,130.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $180.68	Professional		$164.25	$164.25	$180.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $328.50 / $397.49	Facility		$164.25	$328.50	$397.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $226.66	Professional		$164.25	$164.25	$226.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $246.38	Facility		$164.25	$164.25	$246.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $205.31	Professional		$164.25	$164.25	$205.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Facility		$164.25	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $185.95	Professional		$164.25	$164.25	$185.95
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $190.23	Professional		$164.25	$174.11	$190.23