Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $352.92 / $1,588.14	Facility		$352.92	$352.92	$1,588.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $352.92	Professional		$352.92	$352.92	$352.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $735.26 / $1,102.89	Facility		$14.85	$735.26	$1,102.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $101.52	Professional		$11.25	$11.25	$101.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $8.14	Facility		$6.26	$6.26	$8.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $10.02	Professional		$6.26	$6.26	$10.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $374.98 / $412.47	Professional		$143.54	$374.98	$412.47
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $455.86	Professional		$367.63	$367.63	$455.86