Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $515.41 / $1,503.41	Facility		$219.26	$515.41	$1,503.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $434.18 / $525.36	Facility		$217.09	$434.18	$525.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $299.58	Professional		$217.09	$217.09	$299.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $325.64	Facility		$217.09	$217.09	$325.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $271.36	Professional		$217.09	$217.09	$271.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $245.76	Professional		$217.09	$217.09	$245.76
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $260.51	Professional		$217.09	$230.12	$260.51