Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.54 / $794.49 / $1,503.41	Facility		$468.54	$794.49	$1,503.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $209.54 / $321.87	Professional		$167.63	$209.54	$321.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $1,222.29 / $2,211.94	Facility		$24.59	$1,222.29	$2,211.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $24.59 / $39.58	Professional		$14.50	$24.59	$39.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $529.66 / $651.89	Facility		$407.43	$529.66	$651.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $611.15	Professional		$407.43	$488.92	$611.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $770.30 / $1,588.58	Facility		$264.83	$770.30	$1,588.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $496.44 / $594.79	Professional		$32.46	$496.44	$594.79
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $270.93	Professional		$103.54	$147.91	$270.93