Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.79 / $358.64 / $5,634.00	Facility		$55.79	$358.64	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $120.95 / $167.46	Professional		$55.79	$120.95	$167.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $115.94 / $214.42	Professional		$55.33	$115.94	$214.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $92.16 / $180.98	Facility		$64.00	$92.16	$180.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $168.65 / $233.52	Professional		$136.22	$168.65	$233.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $144.47 / $270.00	Professional		$75.78	$144.47	$270.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $163.50 / $265.18	Professional		$129.58	$163.50	$265.18