Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $891.25	Facility		$194.98	$407.38	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $426.58	Facility		$229.09	$295.12	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $338.84	Facility		$190.55	$229.09	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $380.19	Facility		$190.55	$190.55	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $218.78	Professional		$194.98	$208.93	$218.78