Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.94 / $290.94 / $290.94	Facility		$290.94	$290.94	$290.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $290.94 / $349.75	Professional		$15.74	$290.94	$349.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.39 / $300.39 / $579.77	Facility		$300.39	$300.39	$579.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $300.39 / $414.55	Professional		$240.32	$300.39	$414.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $58.02 / $72.09	Facility		$45.06	$58.02	$72.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $54.07 / $65.81	Professional		$45.06	$54.07	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $270.64 / $318.39	Professional		$56.79	$270.64	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $25.41 / $51.63	Professional		$15.45	$25.41	$51.63