Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.18 / $1,386.00 / $5,634.00	Facility		$123.18	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $130.00 / $173.63	Professional		$122.11	$130.00	$173.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.97 / $4,144.00 / $10,957.00	Facility		$167.97	$4,144.00	$10,957.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $167.97 / $226.75	Professional		$119.51	$167.97	$226.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $147.41 / $170.10	Facility		$113.40	$147.41	$170.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $130.41 / $170.10	Professional		$113.40	$130.41	$170.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $761.00	Facility		$147.79	$147.79	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $174.25 / $266.26	Professional		$132.62	$174.25	$266.26
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $153.61 / $262.89	Professional		$116.88	$153.61	$262.89