Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $380.19	Facility		$128.82	$213.80	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $154.88	Professional		$104.71	$125.89	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $5.89	Professional		$5.01	$5.89	$5.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,290.87 / $41,686.94	Facility		$186.21	$2,290.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $2,884.03	Professional		$173.78	$218.78	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $251.19 / $251.19	Facility		$102.33	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49