Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $1,875.15 / $5,634.00	Facility		$75.48	$1,875.15	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $115.95 / $170.08	Professional		$75.48	$115.95	$170.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $3,896.00 / $8,230.00	Facility		$740.96	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $85.26 / $117.65	Professional		$72.47	$85.26	$117.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $89.30 / $107.16	Facility		$71.44	$89.30	$107.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $143.34 / $175.91	Professional		$119.45	$143.34	$175.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.27 / $1,875.00 / $1,875.15	Facility		$759.27	$1,875.00	$1,875.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $142.80 / $232.77	Professional		$88.87	$142.80	$232.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $170.03 / $285.19	Professional		$126.37	$170.03	$285.19