Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.55 / $543.00 / $5,634.00	Facility		$130.55	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $242.70 / $416.75	Professional		$130.02	$242.70	$416.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $130.13 / $184.78	Professional		$110.61	$130.13	$184.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $153.66 / $460.46	Facility		$120.56	$153.66	$460.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $403.81 / $504.77	Professional		$336.51	$403.81	$504.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $166.36	Facility		$166.36	$166.36	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $280.73 / $561.12	Professional		$147.57	$280.73	$561.12
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 $253.83 / $380.85 / $595.77	Professional		$253.83	$380.85	$595.77