Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.11 / $171.94 / $1,384.72	Facility		$132.11	$171.94	$1,384.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $124.96 / $132.11	Professional		$110.37	$124.96	$132.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $951.57 / $3,500.00	Facility		$76.40	$951.57	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $76.40 / $114.83	Professional		$76.40	$76.40	$114.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $139.05 / $180.25	Facility		$139.05	$139.05	$180.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $166.86 / $208.58	Professional		$139.05	$166.86	$208.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $109.50 / $1,098.03	Facility		$78.80	$109.50	$1,098.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $152.19 / $221.30	Professional		$107.32	$152.19	$221.30
United Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $137.51 / $181.49	Facility		$137.51	$137.51	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $150.11 / $237.33	Professional		$104.74	$150.11	$237.33