Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $338.84	Professional		$181.97	$257.04	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $524.81	Facility		$269.15	$269.15	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $512.86	Professional		$245.47	$269.15	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $602.56	Facility		$407.38	$501.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $323.59	Facility		$165.96	$251.19	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $446.68	Professional		$194.98	$194.98	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $316.23	Facility		$269.15	$302.00	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $363.08	Professional		$134.90	$269.15	$363.08