Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $156.75 / $697.22	Facility		$128.54	$156.75	$697.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $125.40 / $156.75	Professional		$109.73	$125.40	$156.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.28 / $13.28	Professional		$11.28	$13.28	$13.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $2,057.34 / $4,952.88	Facility		$188.10	$2,057.34	$4,952.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $219.45 / $2,909.82	Professional		$180.26	$219.45	$2,909.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $121.97 / $206.84	Facility		$101.89	$121.97	$206.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $755.54 / $755.54	Professional		$182.29	$755.54	$755.54
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $188.10	Facility		$156.75	$156.75	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $94.05 / $172.43	Professional		$67.87	$94.05	$172.43