Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.05 / $1,450.00 / $2,851.50	Facility		$253.05	$1,450.00	$2,851.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $348.91 / $1,207.24	Professional		$218.65	$348.91	$1,207.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,136.00 / $2,898.00	Facility		$643.00	$1,136.00	$2,898.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $423.88 / $436.61	Professional		$285.86	$423.88	$436.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $372.90 / $5,085.00	Facility		$339.00	$372.90	$5,085.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $372.90 / $5,085.00	Professional		$339.00	$372.90	$5,085.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.33 / $419.80 / $683.82	Facility		$109.33	$419.80	$683.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $701.74	Professional		$0.66	$0.66	$701.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,138.63 / $2,138.63 / $2,138.63	Facility		$2,138.63	$2,138.63	$2,138.63
United Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $416.43 / $703.35	Professional		$358.24	$416.43	$703.35