Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $1,702.00 / $2,291.01	Facility		$152.41	$1,702.00	$2,291.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $152.41 / $192.23	Professional		$128.96	$152.41	$192.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $1,702.00 / $1,702.00	Facility		$77.33	$1,702.00	$1,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $126.20 / $195.61	Professional		$116.90	$126.20	$195.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $125.05 / $205.71	Facility		$62.88	$125.05	$205.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $120.24 / $200.60	Professional		$55.68	$120.24	$200.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $1,702.00 / $1,702.00	Facility		$185.66	$1,702.00	$1,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $165.55 / $349.40	Professional		$123.23	$165.55	$349.40
United Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $162.88 / $274.67	Professional		$130.26	$162.88	$274.67