Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $338.84 / $4,897.79	Facility		$131.83	$338.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $338.84	Professional		$114.82	$190.55	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $275.42	Professional		$104.71	$165.96	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $138.04	Facility		$117.49	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $346.74	Facility		$125.89	$204.17	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $436.52	Professional		$117.49	$181.97	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $4,265.80	Facility		$588.84	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $323.59	Professional		$117.49	$190.55	$323.59