Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $3,500.00 / $5,634.00	Facility		$37.92	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $37.92 / $56.12	Professional		$35.46	$37.92	$56.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $216.30 / $343.54	Professional		$85.33	$216.30	$343.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.50 / $170.90 / $2,058.75	Facility		$91.50	$170.90	$2,058.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $146.49 / $152.60	Professional		$114.14	$146.49	$152.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $335.91 / $335.91	Professional		$285.52	$335.91	$335.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $130.27 / $258.85	Professional		$45.75	$130.27	$258.85