Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $526.75 / $5,634.00	Facility		$129.63	$526.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $185.19 / $247.00	Professional		$129.63	$185.19	$247.00
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 $147.28 / $233.44 / $400.22	Professional		$147.28	$233.44	$400.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $157.01 / $274.08	Facility		$123.20	$157.01	$274.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $230.13 / $300.17	Professional		$200.11	$230.13	$300.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $175.16 / $175.16	Facility		$175.16	$175.16	$175.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $225.46 / $416.10	Professional		$135.94	$225.46	$416.10
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.61 / $251.92 / $431.73	Professional		$192.61	$251.92	$431.73