Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $123.48 / $123.48	Facility		$123.48	$123.48	$123.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $123.48 / $148.18	Professional		$121.30	$123.48	$148.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.15 / $335.15 / $646.84	Facility		$335.15	$335.15	$646.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $335.15 / $452.45	Professional		$309.42	$335.15	$452.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.59 / $816.37 / $816.37	Facility		$238.59	$816.37	$816.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $442.40	Professional		$347.71	$409.07	$442.40
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $230.51 / $423.81	Professional		$115.49	$230.51	$423.81