Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $426.16 / $5,634.00	Facility		$126.62	$426.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $157.53 / $215.14	Professional		$120.57	$157.53	$215.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $172.23 / $237.67	Professional		$88.98	$172.23	$237.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $157.65 / $215.04	Facility		$121.27	$157.65	$215.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $174.53 / $236.93	Professional		$157.94	$174.53	$236.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $194.52 / $307.57	Professional		$140.71	$194.52	$307.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $184.29 / $324.70	Professional		$143.12	$184.29	$324.70