Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $765.41	Facility		$170.09	$170.09	$765.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $180.30 / $347.98	Facility		$180.30	$180.30	$347.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $180.30 / $243.40	Professional		$153.25	$180.30	$243.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,874.72 / $32,812.17 / $39,374.61	Facility		$28,874.72	$32,812.17	$39,374.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,124.66 / $34,124.66 / $34,124.66	Professional		$34,124.66	$34,124.66	$34,124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $238.00	Professional		$180.30	$180.30	$238.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $225.47	Professional		$180.30	$180.30	$225.47