Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $1,386.00 / $11,103.25	Facility		$137.57	$1,386.00	$11,103.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $182.49 / $273.66	Professional		$132.91	$182.49	$273.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $183.57 / $302.43	Professional		$118.65	$183.57	$302.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $175.76 / $269.12	Facility		$135.19	$175.76	$269.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $235.61 / $294.51	Professional		$196.34	$235.61	$294.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $189.43 / $224.55	Facility		$189.43	$189.43	$224.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $228.34 / $358.72	Professional		$151.33	$228.34	$358.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,357.86 / $2,804.00 / $4,078.00	Facility		$1,357.86	$2,804.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $213.72 / $384.54	Professional		$168.05	$213.72	$384.54