Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $508.37 / $7,212.00	Facility		$131.52	$508.37	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $184.40 / $236.33	Professional		$127.30	$184.40	$236.33
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 $149.90 / $187.38 / $266.07	Professional		$149.90	$187.38	$266.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.83 / $157.82 / $260.08	Facility		$123.83	$157.82	$260.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $216.43 / $282.30	Professional		$188.20	$216.43	$282.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Facility		$139.97	$139.97	$139.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $229.07 / $427.51	Professional		$137.78	$229.07	$427.51
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 $190.05 / $232.53 / $369.52	Professional		$190.05	$232.53	$369.52