Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $698.21 / $5,634.00	Facility		$63.88	$698.21	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $126.99 / $155.55	Professional		$59.98	$126.99	$155.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $156.18 / $363.25	Professional		$90.54	$156.18	$363.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $94.19 / $194.58	Facility		$65.41	$94.19	$194.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $177.98 / $256.29	Professional		$145.22	$177.98	$256.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.26 / $148.26 / $148.26	Facility		$148.26	$148.26	$148.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $176.26 / $329.66	Professional		$69.34	$176.26	$329.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $191.02 / $325.33	Professional		$146.33	$191.02	$325.33