Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $112.02 / $498.29	Facility		$91.86	$112.02	$498.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $91.86 / $112.02	Professional		$88.50	$91.86	$112.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Facility		$13.82	$13.82	$13.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.91 / $6.91	Professional		$5.87	$6.91	$6.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $184.83 / $41,999.58	Facility		$112.02	$184.83	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $156.83 / $2,075.87	Professional		$123.22	$156.83	$2,075.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $85.48 / $134.41	Facility		$72.81	$85.48	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $160.55 / $539.94	Professional		$126.00	$160.55	$539.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $67.20 / $123.22	Professional		$50.41	$67.20	$123.22