Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $1,386.00 / $7,212.00	Facility		$126.57	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $126.57 / $150.68	Professional		$112.77	$126.57	$150.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $178.17 / $245.87	Professional		$135.60	$178.17	$245.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $152.26 / $175.68	Facility		$119.46	$152.26	$175.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $140.54 / $175.68	Professional		$117.12	$140.54	$175.68
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 $128.61 / $166.80 / $271.83	Professional		$128.61	$166.80	$271.83
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 $126.34 / $154.13 / $245.82	Professional		$126.34	$154.13	$245.82