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 $85.11 / $123.03 / $151.36	Professional		$85.11	$123.03	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $13.18	Professional		$11.22	$13.18	$13.18
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