Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $1,386.00 / $5,634.00	Facility		$100.43	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $100.43 / $125.54	Professional		$92.64	$100.43	$125.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $144.00 / $198.72	Professional		$106.09	$144.00	$198.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $127.96 / $147.65	Facility		$100.40	$127.96	$147.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $118.12 / $147.65	Professional		$98.43	$118.12	$147.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $498.21	Facility		$498.21	$498.21	$498.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $151.31 / $233.76	Professional		$110.43	$151.31	$233.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $126.05 / $205.54	Professional		$99.37	$126.05	$205.54