Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $1,122.02	Facility		$346.74	$467.74	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $288.40	Professional		$199.53	$245.47	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $912.01	Facility		$302.00	$302.00	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $380.19	Professional		$194.98	$229.09	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $4,365.16 / $6,606.93	Facility		$295.12	$4,365.16	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,174.90	Facility		$194.98	$194.98	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $912.01	Professional		$302.00	$371.54	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00