Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $1,386.00 / $5,634.00	Facility		$152.93	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $152.93 / $238.98	Professional		$142.30	$152.93	$238.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $201.70 / $278.33	Professional		$156.94	$201.70	$278.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $183.83 / $212.12	Facility		$144.24	$183.83	$212.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $162.62 / $212.12	Professional		$141.41	$162.62	$212.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $279.70 / $279.70	Facility		$279.70	$279.70	$279.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.29 / $213.17 / $335.85	Professional		$159.29	$213.17	$335.85
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 $147.97 / $174.18 / $277.67	Professional		$147.97	$174.18	$277.67