Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $186.11 / $5,634.00	Facility		$133.91	$186.11	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $163.50 / $215.11	Professional		$129.88	$163.50	$215.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $188.60 / $292.33	Professional		$122.76	$188.60	$292.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.86 / $161.68 / $212.17	Facility		$126.86	$161.68	$212.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $178.35 / $232.64	Professional		$155.09	$178.35	$232.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $365.92 / $402.00	Facility		$226.65	$365.92	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $182.89 / $310.61	Professional		$134.36	$182.89	$310.61
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $189.09 / $446.24	Professional		$146.03	$189.09	$446.24