Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $214.69 / $5,634.00	Facility		$80.53	$214.69	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $158.62 / $249.94	Professional		$79.81	$158.62	$249.94
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 $70.58 / $124.39 / $206.49	Professional		$70.58	$124.39	$206.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $97.27 / $248.16	Facility		$76.31	$97.27	$248.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $203.77 / $268.37	Professional		$178.91	$203.77	$268.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $402.00 / $1,873.52	Facility		$143.87	$402.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $154.62 / $323.44	Professional		$79.88	$154.62	$323.44
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $3,741.00 / $5,490.00	Facility		$648.00	$3,741.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $202.73 / $321.89	Professional		$138.31	$202.73	$321.89