Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.08 / $503.77 / $5,634.00	Facility		$166.08	$503.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $185.71 / $263.83	Professional		$156.99	$185.71	$263.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $148.52 / $210.89	Professional		$126.24	$148.52	$210.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $211.63 / $260.98	Facility		$162.79	$211.63	$260.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $230.78 / $288.48	Professional		$192.32	$230.78	$288.48
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 $174.20 / $251.37 / $422.08	Professional		$174.20	$251.37	$422.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $3,267.00 / $4,480.00	Facility		$1,855.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $251.66 / $444.51	Professional		$172.07	$251.66	$444.51