Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,380.38 / $5,623.41	Facility		$120.23	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $281.84	Professional		$104.71	$165.96	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $229.09	Professional		$102.33	$144.54	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $125.89	Facility		$104.71	$109.65	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $288.40	Facility		$123.03	$186.21	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $295.12	Professional		$112.20	$173.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $5,495.41	Facility		$426.58	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $239.88	Professional		$102.33	$154.88	$239.88