Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $573.24 / $1,720.94	Facility		$250.98	$573.24	$1,720.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $497.00 / $601.37	Facility		$248.50	$497.00	$601.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $342.93	Professional		$248.50	$248.50	$342.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $372.75	Facility		$248.50	$248.50	$372.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $310.63	Professional		$248.50	$248.50	$310.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Facility		$248.50	$248.50	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $281.32	Professional		$248.50	$248.50	$281.32
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $284.93	Professional		$248.50	$263.41	$284.93