Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.02 / $202.02 / $202.02	Facility		$202.02	$202.02	$202.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.47 / $202.02 / $278.25	Professional		$174.47	$202.02	$278.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,724.73 / $1,724.73 / $1,724.73	Facility		$1,724.73	$1,724.73	$1,724.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $230.74 / $461.48	Professional		$166.71	$230.74	$461.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.68 / $6,517.71 / $23,495.38	Facility		$289.68	$6,517.71	$23,495.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $955.14 / $955.14 / $955.14	Facility		$955.14	$955.14	$955.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,094.07 / $1,094.07 / $1,132.35	Facility		$1,094.07	$1,094.07	$1,132.35
United Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $252.28 / $438.74	Professional		$208.40	$252.28	$438.74