Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $1,386.00 / $4,846.00	Facility		$132.88	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $132.88 / $225.14	Professional		$105.88	$132.88	$225.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.78 / $196.08 / $264.70	Professional		$152.78	$196.08	$264.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.77 / $391.80 / $16,603.02	Facility		$249.77	$391.80	$16,603.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $335.82 / $349.82	Professional		$195.90	$335.82	$349.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $258.83 / $258.83	Professional		$220.01	$258.83	$258.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $220.43 / $394.67	Professional		$174.24	$220.43	$394.67