Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.93 / $176.93 / $176.93	Facility		$176.93	$176.93	$176.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $176.93 / $221.16	Professional		$20.10	$176.93	$221.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $33.20	Facility		$17.20	$17.20	$33.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $20.12 / $54.80	Professional		$17.20	$20.12	$54.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $175.83 / $314.04	Facility		$24.95	$175.83	$314.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $219.83 / $314.04	Professional		$26.20	$219.83	$314.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $182.29 / $182.29	Professional		$42.31	$182.29	$182.29
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $189.17 / $291.62	Professional		$127.15	$189.17	$291.62