Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.67 / $206.67 / $331.03	Facility		$206.67	$206.67	$331.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $219.73 / $289.08	Professional		$195.59	$219.73	$289.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $21,548.00 / $101,862.00	Facility		$303.39	$21,548.00	$101,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $298.89 / $408.74	Professional		$235.89	$298.89	$408.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $157.08 / $236.52	Facility		$48.95	$157.08	$236.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $150.54 / $219.00	Professional		$46.52	$150.54	$219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $214.42 / $214.42	Facility		$214.42	$214.42	$214.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $361.00 / $512.77	Professional		$194.69	$361.00	$512.77
United Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,232.00 / $19,925.00	Facility		$983.00	$3,232.00	$19,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $276.63 / $488.87	Professional		$172.70	$276.63	$488.87