Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $1,174.90	Facility		$109.65	$204.17	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $204.17	Professional		$107.15	$117.49	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,230.27 / $1,621.81	Facility		$263.03	$1,230.27	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $416.87	Professional		$169.82	$263.03	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $95.50 / $120.23	Facility		$25.12	$95.50	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $371.54 / $588.84	Facility		$46.77	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $489.78	Professional		$158.49	$338.84	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $295.12	Professional		$117.49	$169.82	$295.12