Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $758.58 / $3,019.95	Facility		$194.98	$758.58	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $1,698.24	Professional		$162.18	$199.53	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $363.08	Facility		$186.21	$186.21	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $338.84	Professional		$186.21	$186.21	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $549.54	Facility		$363.08	$457.09	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $275.42	Facility		$125.89	$245.47	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $338.84	Professional		$234.42	$234.42	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $245.47	Facility		$204.17	$229.09	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $275.42	Professional		$102.33	$204.17	$275.42