Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $543.00 / $5,634.00	Facility		$88.69	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $176.21 / $248.00	Professional		$83.00	$176.21	$248.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $85.02 / $126.69	Professional		$68.01	$85.02	$126.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.42 / $112.35 / $282.14	Facility		$86.42	$112.35	$282.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $241.49 / $301.86	Professional		$201.24	$241.49	$301.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $194.06 / $366.64	Professional		$95.23	$194.06	$366.64
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 $172.65 / $227.50 / $377.09	Professional		$172.65	$227.50	$377.09