Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $1,386.00 / $5,634.00	Facility		$108.77	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $114.89 / $153.36	Professional		$108.77	$114.89	$153.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $129.00 / $178.02	Professional		$105.32	$129.00	$178.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.85 / $157.97 / $236.97	Facility		$115.85	$157.97	$236.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $136.91 / $189.57	Professional		$110.59	$136.91	$189.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $142.52 / $248.12	Professional		$108.72	$142.52	$248.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $144.57 / $229.11	Professional		$112.77	$144.57	$229.11