Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $912.01	Facility		$245.47	$389.05	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $239.88	Professional		$162.18	$204.17	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $741.31	Facility		$245.47	$245.47	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $181.97	Professional		$38.90	$45.71	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,548.13 / $43,651.58	Facility		$169.82	$3,548.13	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $245.47	Facility		$162.18	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $281.84 / $354.81	Professional		$60.26	$281.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $245.47	Facility		$112.20	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47