Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.57 / $371.19 / $5,634.00	Facility		$120.57	$371.19	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $137.66 / $157.26	Professional		$120.57	$137.66	$157.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,548.00 / $4,847.00	Facility		$1,365.00	$3,548.00	$4,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $182.26 / $257.88	Professional		$145.80	$182.26	$257.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $170.44 / $190.17	Facility		$117.02	$170.44	$190.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $168.06 / $199.68	Professional		$140.05	$168.06	$199.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $187.05 / $277.74	Professional		$142.60	$187.05	$277.74
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 $125.60 / $170.47 / $277.26	Professional		$125.60	$170.47	$277.26