Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.55 / $543.00 / $5,634.00	Facility		$155.55	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $209.99 / $307.52	Professional		$138.11	$209.99	$307.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $158.66 / $225.29	Professional		$126.07	$158.66	$225.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $214.44 / $356.12	Facility		$156.22	$214.44	$356.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $335.74 / $483.47	Professional		$268.58	$335.74	$483.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,125.20	Facility		$949.22	$949.22	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $269.02 / $466.60	Professional		$162.16	$269.02	$466.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $284.22 / $522.41	Professional		$208.79	$284.22	$522.41