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 $100.00 / $120.23 / $229.09	Professional		$100.00	$120.23	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $229.09	Professional		$95.50	$151.36	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $123.03	Facility		$104.71	$107.15	$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 $190.55 / $190.55 / $758.58	Facility		$190.55	$190.55	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $239.88	Professional		$112.20	$154.88	$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 $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55