Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $309.03 / $602.56	Facility		$147.91	$309.03	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $158.49	Professional		$107.15	$123.03	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $602.56	Facility		$199.53	$199.53	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $199.53	Professional		$42.66	$53.70	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,884.03 / $4,365.16	Facility		$190.55	$2,884.03	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $239.88 / $446.68	Professional		$60.26	$239.88	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $199.53	Facility		$147.91	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $162.18	Professional		$63.10	$89.13	$162.18