Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $201.71 / $5,634.00	Facility		$152.47	$201.71	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $156.76 / $227.22	Professional		$143.47	$156.76	$227.22
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 $140.19 / $175.24 / $263.12	Professional		$140.19	$175.24	$263.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.24 / $182.56 / $227.39	Facility		$143.24	$182.56	$227.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $196.79 / $245.99	Professional		$163.99	$196.79	$245.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $189.95 / $323.74	Professional		$154.19	$189.95	$323.74
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 $137.97 / $175.45 / $294.58	Professional		$137.97	$175.45	$294.58