Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $543.00 / $5,634.00	Facility		$101.49	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $142.22 / $204.72	Professional		$100.92	$142.22	$204.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $4,097.10 / $8,230.00	Facility		$1,042.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $145.04 / $212.53	Professional		$93.03	$145.04	$212.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $144.55 / $243.88	Facility		$99.24	$144.55	$243.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $212.88 / $256.07	Professional		$177.40	$212.88	$256.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.43 / $176.43 / $176.43	Facility		$176.43	$176.43	$176.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $166.42 / $272.00	Professional		$98.11	$166.42	$272.00
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 $147.90 / $192.34 / $306.64	Professional		$147.90	$192.34	$306.64