Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,801.89 / $5,623.41	Facility		$208.93	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $363.08	Professional		$128.82	$144.54	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,187.76 / $3,388.44	Facility		$181.97	$2,187.76	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $302.00	Professional		$144.54	$194.98	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Facility		$144.54	$144.54	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $251.19	Professional		$141.25	$190.55	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $257.04	Professional		$117.49	$162.18	$257.04