Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $1,445.44	Facility		$446.68	$616.60	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $380.19	Professional		$213.80	$323.59	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,174.90	Facility		$389.05	$389.05	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $389.05	Professional		$173.78	$204.17	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,623.41 / $43,651.58	Facility		$380.19	$5,623.41	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,513.56	Facility		$251.19	$251.19	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $562.34	Professional		$269.15	$446.68	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $389.05 / $389.05	Facility		$138.04	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05