Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.27 / $460.22 / $628.20	Facility		$102.27	$460.22	$628.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $102.27 / $122.63	Professional		$63.95	$102.27	$122.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $167.60 / $3,562.24	Facility		$59.33	$167.60	$3,562.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $59.33 / $84.24	Professional		$59.33	$59.33	$84.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $96.33 / $126.92	Facility		$77.06	$96.33	$126.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $104.26 / $42,524.57	Professional		$90.66	$104.26	$42,524.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $628.20 / $628.20	Facility		$48.76	$628.20	$628.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $119.36 / $153.07	Professional		$46.97	$119.36	$153.07
United Facility/Professional Facility Modifier Low / Median / High Price $684.62 / $684.62 / $708.58	Facility		$684.62	$684.62	$708.58
United Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $58.26 / $145.82	Professional		$51.85	$58.26	$145.82