Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $138.61 / $623.75	Facility		$0.02	$138.61	$623.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $138.61 / $516.71	Professional		$138.61	$138.61	$516.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $570.54	Facility		$0.02	$0.02	$570.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $570.54 / $770.22	Professional		$470.69	$570.54	$770.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Facility		$147.30	$147.30	$147.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Professional		$147.30	$147.30	$147.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $1,568.99	Professional		$570.54	$570.54	$1,568.99
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $800.90	Professional		$645.89	$645.89	$800.90