Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $251.19	Facility		$93.33	$141.25	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $154.88	Professional		$89.13	$97.72	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $173.78	Facility		$91.20	$91.20	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $151.36	Professional		$75.86	$91.20	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $114.82	Facility		$97.72	$102.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $251.19	Facility		$97.72	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $223.87	Professional		$95.50	$120.23	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,623.41 / $12,022.64	Facility		$1,412.54	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $190.55	Professional		$91.20	$114.82	$190.55