Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $3,801.89 / $5,623.41	Facility		$117.49	$3,801.89	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $323.59	Facility		$165.96	$165.96	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $169.82	Facility		$91.20	$107.15	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,238.72 / $5,754.40	Facility		$257.04	$2,238.72	$5,754.40