Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $4,897.79	Facility		$162.18	$446.68	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $426.58	Professional		$107.15	$204.17	$426.58
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 $95.50 / $151.36 / $309.03	Professional		$95.50	$151.36	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $125.89	Facility		$107.15	$109.65	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $758.58	Facility		$173.78	$186.21	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $346.74	Professional		$114.82	$199.53	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,137.96 / $5,495.41	Facility		$204.17	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $263.03	Professional		$97.72	$158.49	$263.03