Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $123.84 / $4,846.00	Facility		$107.86	$123.84	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $117.70 / $152.03	Professional		$106.38	$117.70	$152.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.00 / $11,305.00 / $30,091.00	Facility		$1,683.00	$11,305.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $146.69 / $232.99	Professional		$122.89	$146.69	$232.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $127.99 / $147.68	Facility		$98.45	$127.99	$147.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $113.22 / $147.68	Professional		$98.45	$113.22	$147.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $761.00	Facility		$129.34	$129.34	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $169.74 / $233.81	Professional		$116.73	$169.74	$233.81
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $146.91 / $247.55	Professional		$108.14	$146.91	$247.55