Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.74 / $167.74 / $7,212.00	Facility		$38.74	$167.74	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $134.19 / $167.74	Professional		$36.15	$134.19	$167.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $9,027.00	Facility		$1,804.00	$4,353.00	$9,027.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $121.66 / $274.35	Professional		$58.81	$121.66	$274.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $39.29 / $175.39	Facility		$30.83	$39.29	$175.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $150.07 / $187.59	Professional		$131.31	$150.07	$187.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $136.68 / $288.60	Professional		$40.40	$136.68	$288.60
United Facility/Professional Facility Modifier Low / Median / High Price $518.14 / $2,715.00 / $4,078.00	Facility		$518.14	$2,715.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $195.84 / $304.08	Professional		$150.19	$195.84	$304.08