Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $645.65 / $1,659.59	Facility		$186.21	$645.65	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $363.08	Professional		$81.28	$114.82	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $85.11 / $87.10	Professional		$0.02	$85.11	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $85.11 / $74,131.02	Facility		$20.89	$85.11	$74,131.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $707.95	Facility		$85.11	$85.11	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $234.42	Professional		$91.20	$141.25	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $154.88	Facility		$74.13	$74.13	$154.88