Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $9,120.11	Facility		$138.04	$245.47	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $269.15	Professional		$125.89	$144.54	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $9,772.37 / $12,882.50	Facility		$436.52	$9,772.37	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $724.44	Professional		$173.78	$436.52	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $154.88	Facility		$54.95	$95.50	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $660.69 / $1,000.00	Facility		$213.80	$660.69	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $776.25	Professional		$128.82	$257.04	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,630.27 / $2,754.23	Facility		$138.04	$2,630.27	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $562.34	Professional		$147.91	$208.93	$562.34