Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $1,386.00 / $5,634.00	Facility		$131.88	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $135.24 / $195.75	Professional		$128.72	$135.24	$195.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $324.50 / $438.07	Professional		$187.80	$324.50	$438.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.81 / $158.35 / $182.72	Facility		$121.81	$158.35	$182.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $142.19 / $182.72	Professional		$121.81	$142.19	$182.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $402.00 / $1,158.10	Facility		$151.61	$402.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $257.58 / $446.74	Professional		$140.53	$257.58	$446.74
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $200.54 / $329.58	Professional		$123.92	$200.54	$329.58