Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $495.31 / $1,500.99	Facility		$218.91	$495.31	$1,500.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $238.59	Professional		$216.90	$216.90	$238.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $433.80 / $524.90	Facility		$216.90	$433.80	$524.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $299.32	Professional		$216.90	$216.90	$299.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $325.35	Facility		$216.90	$216.90	$325.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $271.13	Professional		$216.90	$216.90	$271.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $245.55	Professional		$216.90	$216.90	$245.55
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.91 / $247.50	Professional		$216.90	$229.91	$247.50