Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $1,773.00 / $5,634.00	Facility		$121.83	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $123.45 / $162.44	Professional		$121.83	$123.45	$162.44
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 $137.05 / $169.36 / $240.49	Professional		$137.05	$169.36	$240.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $170.64 / $255.96	Facility		$120.88	$170.64	$255.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $147.88 / $204.77	Professional		$119.45	$147.88	$204.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $182.58 / $309.38	Professional		$122.12	$182.58	$309.38
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 $122.03 / $150.66 / $262.10	Professional		$122.03	$150.66	$262.10