Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $338.84	Facility		$91.20	$144.54	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $87.10	Professional		$67.61	$75.86	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $794.33	Professional		$40.74	$51.29	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,318.26 / $1,995.26	Facility		$89.13	$1,318.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $275.42	Professional		$60.26	$112.20	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $100.00	Professional		$38.90	$54.95	$100.00