Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $426.58	Facility		$114.82	$177.83	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $112.20	Professional		$75.86	$93.33	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $346.74	Facility		$114.82	$114.82	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $107.15	Professional		$45.71	$63.10	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,659.59 / $43,651.58	Facility		$79.43	$1,659.59	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $114.82	Facility		$74.13	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $165.96	Professional		$60.26	$131.83	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $114.82	Facility		$51.29	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $114.82	Professional		$47.86	$69.18	$114.82