Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $831.76 / $5,623.41	Facility		$138.04	$831.76	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $346.74	Professional		$123.03	$190.55	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $263.03	Professional		$120.23	$165.96	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $144.54	Facility		$123.03	$125.89	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $331.13	Facility		$141.25	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $338.84	Professional		$128.82	$204.17	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,137.96 / $5,495.41	Facility		$331.13	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $269.15	Professional		$117.49	$173.78	$269.15