Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $660.62 / $1,115.20	Facility		$132.05	$660.62	$1,115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $115.11 / $132.05	Professional		$57.03	$115.11	$132.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.91 / $951.97 / $3,500.00	Facility		$214.91	$951.97	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $214.91 / $290.12	Professional		$76.45	$214.91	$290.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $110.93 / $154.09	Facility		$29.41	$110.93	$154.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $98.59 / $137.22	Professional		$26.09	$98.59	$137.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $126.50 / $1,019.20	Facility		$97.36	$126.50	$1,019.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $113.51 / $181.51	Professional		$66.67	$113.51	$181.51
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $96.01 / $164.95	Professional		$59.71	$96.01	$164.95