Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $524.81	Facility		$141.25	$223.87	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $134.90	Professional		$93.33	$114.82	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $426.58	Facility		$141.25	$141.25	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $12.30	Professional		$5.01	$5.89	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,089.30 / $3,090.30	Facility		$138.04	$2,089.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $173.78 / $426.58	Professional		$7.76	$173.78	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25