Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $461.62 / $22,753.61	Facility		$461.62	$461.62	$22,753.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $461.62	Professional		$461.62	$461.62	$461.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.03 / $565.71 / $905.14	Facility		$534.03	$565.71	$905.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $452.57 / $452.57	Professional		$384.68	$452.57	$452.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.61 / $140.47 / $252.85	Facility		$133.61	$140.47	$252.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $146.97 / $213.78	Professional		$113.57	$146.97	$213.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.44 / $461.62 / $506.88	Facility		$164.44	$461.62	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $506.88 / $689.71	Professional		$278.70	$506.88	$689.71
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $520.46 / $543.08	Professional		$452.57	$520.46	$543.08