Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $1,773.00 / $5,634.00	Facility		$178.90	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $191.40 / $241.52	Professional		$178.90	$191.40	$241.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,810.27	Facility		$1,682.00	$3,950.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $256.10 / $345.01	Professional		$179.47	$256.10	$345.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $234.71 / $355.02	Facility		$175.32	$234.71	$355.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $219.15 / $315.57	Professional		$175.32	$219.15	$315.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $450.00 / $2,126.90	Facility		$214.12	$450.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $215.09 / $369.78	Professional		$145.34	$215.09	$369.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $210.46 / $376.83	Professional		$163.69	$210.46	$376.83