Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,344.23 / $4,897.79	Facility		$117.49	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $213.80	Professional		$107.15	$123.03	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $32,359.37	Facility		$9,549.93	$25,703.96	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $257.04	Professional		$109.65	$173.78	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $123.03	Facility		$104.71	$109.65	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $363.08	Facility		$114.82	$181.97	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $239.88	Professional		$109.65	$162.18	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $229.09	Professional		$102.33	$144.54	$229.09