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 / $107.15	Professional		$75.86	$93.33	$107.15
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 $42.66 / $51.29 / $128.82	Professional		$42.66	$51.29	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,659.59 / $2,511.89	Facility		$112.20	$1,659.59	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $346.74	Professional		$60.26	$141.25	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$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