Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $2,318.00 / $6,845.79	Facility		$87.20	$2,318.00	$6,845.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $87.20 / $153.43	Professional		$83.49	$87.20	$153.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $117.30 / $166.51	Professional		$93.84	$117.30	$166.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $129.57 / $194.36	Facility		$91.78	$129.57	$194.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $107.98 / $155.49	Professional		$88.11	$107.98	$155.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $133.53 / $217.11	Professional		$98.52	$133.53	$217.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,357.86 / $3,027.00 / $5,402.00	Facility		$1,357.86	$3,027.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $109.43 / $189.37	Professional		$91.86	$109.43	$189.37