Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $1,773.00 / $5,634.00	Facility		$109.52	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $109.52 / $136.90	Professional		$102.45	$109.52	$136.90
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 $138.07 / $179.60 / $247.84	Professional		$138.07	$179.60	$247.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $135.71 / $156.59	Facility		$106.48	$135.71	$156.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $125.27 / $156.59	Professional		$104.39	$125.27	$156.59
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 $129.75 / $197.12 / $365.80	Professional		$129.75	$197.12	$365.80
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 $114.76 / $147.75 / $237.06	Professional		$114.76	$147.75	$237.06