Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.64 / $1,386.00 / $5,634.00	Facility		$204.64	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $211.18 / $288.44	Professional		$189.84	$211.18	$288.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $138.16 / $189.76	Professional		$108.46	$138.16	$189.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $246.69 / $284.64	Facility		$189.76	$246.69	$284.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $225.77 / $284.64	Professional		$189.76	$225.77	$284.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $402.00 / $655.97	Facility		$240.68	$402.00	$655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $232.18 / $416.23	Professional		$166.00	$232.18	$416.23
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $223.43 / $367.23	Professional		$170.91	$223.43	$367.23