Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.19 / $488.64 / $1,427.51	Facility		$208.19	$488.64	$1,427.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $227.84	Professional		$207.13	$207.13	$227.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $414.26 / $501.25	Facility		$207.13	$414.26	$501.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $285.83	Professional		$207.13	$207.13	$285.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $207.13 / $310.70	Facility		$207.13	$207.13	$310.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $258.91	Professional		$207.13	$207.13	$258.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Facility		$207.13	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $234.48	Professional		$207.13	$207.13	$234.48
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $230.58 / $248.56	Professional		$207.13	$230.58	$248.56