Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $1,941.00 / $7,212.00	Facility		$125.42	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $138.57 / $201.62	Professional		$125.42	$138.57	$201.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $381.90 / $605.29	Professional		$167.49	$381.90	$605.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.15 / $176.46 / $190.04	Facility		$121.15	$176.46	$190.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $165.51 / $194.37	Professional		$135.74	$165.51	$194.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $243.89 / $405.60	Professional		$156.62	$243.89	$405.60
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $187.70 / $314.69	Professional		$124.41	$187.70	$314.69