Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $2,787.68 / $7,954.00	Facility		$115.02	$2,787.68	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $133.03 / $189.56	Professional		$98.82	$133.03	$189.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $157.02 / $243.85	Professional		$109.42	$157.02	$243.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $121.58 / $187.73	Facility		$95.39	$121.58	$187.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $155.22 / $202.91	Professional		$135.27	$155.22	$202.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,289.35 / $1,289.35 / $1,289.35	Facility		$1,289.35	$1,289.35	$1,289.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $158.61 / $303.36	Professional		$104.67	$158.61	$303.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $164.10 / $282.51	Professional		$128.36	$164.10	$282.51