Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $446.68	Facility		$123.03	$190.55	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $117.49	Professional		$91.20	$100.00	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $363.08	Facility		$123.03	$123.03	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $851.14	Professional		$354.81	$436.52	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,778.28 / $2,630.27	Facility		$117.49	$1,778.28	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $575.44	Professional		$141.25	$173.78	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $134.90	Professional		$51.29	$72.44	$134.90