Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $5,623.41	Facility		$134.90	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $331.13	Professional		$114.82	$199.53	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $251.19	Professional		$93.33	$154.88	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $123.03 / $141.25	Facility		$120.23	$123.03	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $380.19	Facility		$138.04	$223.87	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $346.74	Professional		$123.03	$199.53	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $6,456.54	Facility		$1,412.54	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $281.84	Professional		$107.15	$173.78	$281.84