Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $190.55	Professional		$181.97	$181.97	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $512.86	Facility		$141.25	$245.47	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $295.12	Professional		$181.97	$181.97	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $363.08	Facility		$181.97	$275.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19