Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $515.08 / $7,212.00	Facility		$156.58	$515.08	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $177.47 / $219.60	Professional		$142.94	$177.47	$219.60
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 $109.93 / $150.07 / $207.09	Professional		$109.93	$150.07	$207.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.83 / $219.38 / $329.07	Facility		$159.83	$219.38	$329.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.35 / $249.19 / $358.83	Professional		$199.35	$249.19	$358.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $433.76	Facility		$365.92	$365.92	$433.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $208.80 / $358.82	Professional		$150.18	$208.80	$358.82
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 $154.93 / $201.99 / $357.06	Professional		$154.93	$201.99	$357.06