Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $1,386.00 / $5,634.00	Facility		$138.56	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $147.94 / $195.37	Professional		$138.56	$147.94	$195.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $310.00 / $434.30	Professional		$156.50	$310.00	$434.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $176.58 / $203.75	Facility		$138.55	$176.58	$203.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $163.00 / $203.75	Professional		$135.83	$163.00	$203.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $207.71 / $395.88	Professional		$152.41	$207.71	$395.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $177.22 / $291.86	Professional		$142.69	$177.22	$291.86