Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $912.01	Facility		$251.19	$389.05	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $234.42	Professional		$162.18	$204.17	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $741.31	Facility		$251.19	$251.19	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $102.33	Professional		$45.71	$56.23	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,630.78 / $5,370.32	Facility		$239.88	$3,630.78	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $302.00 / $741.31	Professional		$64.57	$302.00	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19