Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $423.14 / $1,904.13	Facility		$0.02	$423.14	$1,904.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $423.14	Professional		$423.14	$423.14	$423.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $853.84	Facility		$0.02	$0.03	$853.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.65 / $426.92 / $576.34	Professional		$374.65	$426.92	$576.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.76 / $242.76 / $242.76	Facility		$242.76	$242.76	$242.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $242.76 / $242.76	Professional		$242.76	$242.76	$242.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $1,174.03	Professional		$426.92	$426.92	$1,174.03
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $566.47 / $603.52	Professional		$528.91	$566.47	$603.52