Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $1,386.00 / $5,634.00	Facility		$122.80	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $125.85 / $159.36	Professional		$115.86	$125.85	$159.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $192.30 / $371.14	Facility		$192.30	$192.30	$371.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $192.30 / $265.37	Professional		$132.38	$192.30	$265.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $153.31 / $165.10	Facility		$117.93	$153.31	$165.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $141.52 / $176.90	Professional		$115.28	$141.52	$176.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $178.99 / $282.18	Professional		$137.96	$178.99	$282.18
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $150.59 / $258.67	Professional		$126.62	$150.59	$258.67