Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,380.38 / $5,623.41	Facility		$208.93	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $398.11	Professional		$138.04	$218.78	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $218.78	Facility		$186.21	$190.55	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Facility		$316.23	$316.23	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $489.78	Professional		$169.82	$275.42	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $6,456.54	Facility		$1,230.27	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $389.05	Professional		$154.88	$234.42	$389.05