Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $302.36 / $5,634.00	Facility		$80.53	$302.36	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $196.09 / $351.58	Professional		$80.53	$196.09	$351.58
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 $59.67 / $126.37 / $235.14	Professional		$59.67	$126.37	$235.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $97.27 / $352.09	Facility		$74.81	$97.27	$352.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.97 / $289.14 / $377.96	Professional		$251.97	$289.14	$377.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $402.00 / $655.97	Facility		$143.87	$402.00	$655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $198.48 / $424.56	Professional		$88.86	$198.48	$424.56
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 $207.56 / $264.35 / $464.00	Professional		$207.56	$264.35	$464.00