Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $326.54 / $5,634.00	Facility		$74.27	$326.54	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $125.17 / $173.78	Professional		$74.27	$125.17	$173.78
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 $65.62 / $109.62 / $360.95	Professional		$65.62	$109.62	$360.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $94.54 / $168.06	Facility		$74.17	$94.54	$168.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $146.68 / $183.35	Professional		$122.23	$146.68	$183.35
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 $93.91 / $172.08 / $360.00	Professional		$93.91	$172.08	$360.00
United Facility/Professional Facility Modifier Low / Median / High Price $559.38 / $2,715.00 / $4,078.00	Facility		$559.38	$2,715.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $182.77 / $276.66	Professional		$120.80	$182.77	$276.66