Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $1,174.90	Facility		$263.03	$549.54	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $309.03	Professional		$257.04	$263.03	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $575.44	Facility		$309.03	$389.05	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $457.09	Facility		$257.04	$309.03	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $323.59	Facility		$263.03	$263.03	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $501.19	Facility		$257.04	$257.04	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $288.40	Professional		$263.03	$275.42	$288.40