Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $782.05 / $7,212.00	Facility		$148.69	$782.05	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $247.39 / $359.02	Professional		$131.15	$247.39	$359.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $117.19 / $166.40	Professional		$99.61	$117.19	$166.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $176.64 / $395.59	Facility		$138.60	$176.64	$395.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.82 / $336.98 / $421.23	Professional		$280.82	$336.98	$421.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $365.92	Facility		$365.92	$365.92	$365.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $234.88 / $538.88	Professional		$132.68	$234.88	$538.88
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 $234.88 / $309.50 / $508.71	Professional		$234.88	$309.50	$508.71