Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $234.18 / $5,634.00	Facility		$99.61	$234.18	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $195.56 / $278.98	Professional		$99.61	$195.56	$278.98
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 $117.89 / $194.74 / $311.58	Professional		$117.89	$194.74	$311.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $121.11 / $269.93	Facility		$93.16	$121.11	$269.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $234.18 / $292.73	Professional		$195.15	$234.18	$292.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $402.00 / $1,873.52	Facility		$179.75	$402.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $203.39 / $375.02	Professional		$109.43	$203.39	$375.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $227.92 / $358.08	Professional		$172.20	$227.92	$358.08