Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $602.56	Facility		$162.18	$257.04	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $154.88	Professional		$123.03	$134.90	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $489.78	Facility		$162.18	$162.18	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $794.33	Professional		$72.44	$91.20	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,398.83 / $3,548.13	Facility		$158.49	$2,398.83	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $489.78	Professional		$107.15	$199.53	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $181.97	Professional		$69.18	$97.72	$181.97