Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.62 / $457.10 / $1,368.79	Facility		$199.62	$457.10	$1,368.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $217.62	Professional		$197.83	$197.83	$217.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $395.66 / $478.75	Facility		$197.83	$395.66	$478.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $273.00	Professional		$197.83	$197.83	$273.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $296.75	Facility		$197.83	$197.83	$296.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $247.29	Professional		$197.83	$197.83	$247.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $223.96	Professional		$197.83	$197.83	$223.96
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $231.33	Professional		$197.83	$209.70	$231.33