Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $543.00 / $5,634.00	Facility		$124.16	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $182.14 / $258.52	Professional		$124.16	$182.14	$258.52
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 $121.48 / $176.04 / $242.80	Professional		$121.48	$176.04	$242.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.59 / $177.10 / $283.77	Facility		$121.59	$177.10	$283.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $248.30 / $297.97	Professional		$206.92	$248.30	$297.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.80 / $196.80 / $196.80	Facility		$196.80	$196.80	$196.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $201.90 / $318.07	Professional		$129.27	$201.90	$318.07
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 $173.58 / $229.49 / $358.53	Professional		$173.58	$229.49	$358.53