Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $213.80	Professional		$131.83	$144.54	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,258.93 / $1,659.59	Facility		$52.48	$1,258.93	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $120.23	Professional		$52.48	$70.79	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Facility		$141.25	$141.25	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $234.42	Professional		$81.28	$151.36	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $208.93	Professional		$95.50	$131.83	$208.93