Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.87 / $260.01 / $294.62	Facility		$185.87	$260.01	$294.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $260.01 / $1,559.20	Professional		$185.87	$260.01	$1,559.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $187.82 / $439.05	Facility		$0.02	$187.82	$439.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,749.66 / $33,749.66 / $43,749.56	Facility		$33,749.66	$33,749.66	$43,749.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33,749.66 / $40,499.60 / $50,624.49	Professional		$33,749.66	$40,499.60	$50,624.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $143.63 / $320.04	Facility		$88.05	$143.63	$320.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Professional		$9.72	$9.72	$9.72