Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $1,174.90	Facility		$128.82	$213.80	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $269.15	Professional		$123.03	$151.36	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,230.27 / $1,621.81	Facility		$109.65	$1,230.27	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $181.97	Professional		$109.65	$123.03	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $104.71 / $125.89	Facility		$21.88	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $245.47 / $436.52	Facility		$107.15	$245.47	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $181.97 / $281.84	Professional		$40.74	$181.97	$281.84
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 $134.90 / $177.83 / $302.00	Professional		$134.90	$177.83	$302.00