Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $3,801.89 / $5,623.41	Facility		$134.90	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $251.19	Professional		$120.23	$138.04	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $4,365.16 / $10,964.78	Facility		$169.82	$4,365.16	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $251.19	Professional		$112.20	$169.82	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $141.25	Facility		$120.23	$125.89	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $758.58	Facility		$223.87	$223.87	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $5,754.40	Facility		$602.56	$2,238.72	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $239.88	Professional		$109.65	$154.88	$239.88