Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $528.75 / $701.13	Facility		$21.20	$528.75	$701.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $27.72 / $47.41	Professional		$18.48	$27.72	$47.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $81.39 / $360.12	Facility		$81.39	$81.39	$360.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $81.39 / $112.31	Professional		$65.11	$81.39	$112.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $38.29 / $121,498.80	Facility		$28.37	$38.29	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $34.04 / $42.56	Professional		$28.37	$34.04	$42.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $253.22 / $863.01	Facility		$34.97	$253.22	$863.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $107.43 / $107.43	Professional		$57.91	$107.43	$107.43
United Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $525.30 / $525.30	Facility		$525.30	$525.30	$525.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $29.23 / $56.72	Professional		$21.52	$29.23	$56.72