Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $413.69 / $5,634.00	Facility		$131.72	$413.69	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $143.26 / $174.73	Professional		$131.72	$143.26	$174.73
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 $158.84 / $198.66 / $284.94	Professional		$158.84	$198.66	$284.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $185.67 / $211.48	Facility		$127.47	$185.67	$211.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $187.13 / $222.05	Professional		$155.94	$187.13	$222.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $200.30 / $294.61	Professional		$156.19	$200.30	$294.61
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 $142.05 / $181.89 / $299.89	Professional		$142.05	$181.89	$299.89