Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,380.38 / $5,623.41	Facility		$218.78	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $524.81	Professional		$190.55	$316.23	$524.81
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 $169.82 / $263.03 / $501.19	Professional		$169.82	$263.03	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $229.09	Facility		$194.98	$204.17	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $758.58	Facility		$338.84	$338.84	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $562.34	Professional		$194.98	$316.23	$562.34
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 $173.78 / $275.42 / $457.09	Professional		$173.78	$275.42	$457.09