Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Professional		$245.47	$245.47	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $316.23 / $512.86	Facility		$141.25	$316.23	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $371.54	Professional		$245.47	$245.47	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $489.78	Facility		$245.47	$371.54	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $269.15	Professional		$125.89	$245.47	$269.15