Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $1,941.00 / $7,212.00	Facility		$141.60	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $157.38 / $251.79	Professional		$141.60	$157.38	$251.79
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 $203.57 / $466.82 / $739.88	Professional		$203.57	$466.82	$739.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $199.68 / $215.04	Facility		$137.09	$199.68	$215.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $184.32 / $219.13	Professional		$153.60	$184.32	$219.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $294.14 / $496.93	Professional		$177.33	$294.14	$496.93
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 $137.51 / $201.67 / $355.74	Professional		$137.51	$201.67	$355.74