Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $281.84	Professional		$158.49	$208.93	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $549.54	Facility		$218.78	$436.52	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $218.78 / $389.05	Professional		$213.80	$218.78	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $537.03	Facility		$354.81	$446.68	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $436.52	Facility		$295.12	$295.12	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $354.81	Professional		$218.78	$218.78	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Facility		$234.42	$275.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $288.40	Professional		$120.23	$213.80	$288.40