Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $1,773.00 / $5,634.00	Facility		$75.95	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $75.95 / $94.93	Professional		$68.16	$75.95	$94.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $135.50 / $186.99	Professional		$106.61	$135.50	$186.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $95.63 / $110.34	Facility		$75.03	$95.63	$110.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $84.59 / $110.34	Professional		$73.56	$84.59	$110.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.39 / $212.39 / $212.39	Facility		$212.39	$212.39	$212.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $144.94 / $257.43	Professional		$92.81	$144.94	$257.43
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $113.07 / $178.81	Professional		$82.40	$113.07	$178.81