Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $739.20 / $5,634.00	Facility		$66.29	$739.20	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $134.55 / $168.40	Professional		$66.29	$134.55	$168.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,820.00 / $8,388.00	Facility		$1,153.00	$5,820.00	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $193.40 / $403.76	Professional		$114.84	$193.40	$403.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $97.23 / $201.38	Facility		$69.91	$97.23	$201.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $189.24 / $262.02	Professional		$152.85	$189.24	$262.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $149.12 / $149.12	Facility		$149.12	$149.12	$149.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $189.50 / $345.71	Professional		$83.76	$189.50	$345.71
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 $149.37 / $197.21 / $422.72	Professional		$149.37	$197.21	$422.72