Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $403.98 / $13,609.22	Facility		$113.51	$403.98	$13,609.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $128.41 / $196.48	Professional		$98.76	$128.41	$196.48
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 $82.62 / $126.89 / $197.06	Professional		$82.62	$126.89	$197.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $135.72 / $206.87	Facility		$106.49	$135.72	$206.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $171.13 / $223.70	Professional		$149.13	$171.13	$223.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $150.86 / $150.86	Facility		$150.86	$150.86	$150.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $144.62 / $270.00	Professional		$107.32	$144.62	$270.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,148.00 / $6,094.00 / $12,090.00	Facility		$2,148.00	$6,094.00	$12,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $153.56 / $247.03	Professional		$108.34	$153.56	$247.03