Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $199.95 / $1,232.55	Facility		$199.95	$199.95	$1,232.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $205.15 / $912.60	Professional		$199.95	$205.15	$912.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $406.25	Facility		$210.49	$210.49	$406.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $210.49 / $315.73	Professional		$210.49	$210.49	$315.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $462.17 / $630.23	Facility		$329.17	$462.17	$630.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.13 / $462.17 / $567.20	Professional		$357.13	$462.17	$567.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $420.15	Facility		$373.38	$373.38	$420.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $317.37 / $430.98	Professional		$280.72	$317.37	$430.98
United Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $209.60 / $315.81	Professional		$139.74	$209.60	$315.81