Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $295.12 / $512.86	Facility		$141.25	$295.12	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $263.03	Professional		$162.18	$162.18	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $323.59	Facility		$162.18	$239.88	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54