Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $210.92 / $5,634.00	Facility		$131.76	$210.92	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $135.90 / $231.23	Professional		$114.05	$135.90	$231.23
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 $96.61 / $145.62 / $226.14	Professional		$96.61	$145.62	$226.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $157.40 / $238.02	Facility		$123.50	$157.40	$238.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $197.20 / $257.22	Professional		$171.48	$197.20	$257.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.49 / $169.49 / $169.49	Facility		$169.49	$169.49	$169.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $162.49 / $287.56	Professional		$124.99	$162.49	$287.56
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 $125.08 / $178.17 / $269.42	Professional		$125.08	$178.17	$269.42