Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $3,500.00 / $5,634.00	Facility		$117.95	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $117.95 / $292.82	Professional		$100.80	$117.95	$292.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.78 / $196.08 / $264.70	Professional		$152.78	$196.08	$264.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $353.90 / $16,603.02	Facility		$225.60	$353.90	$16,603.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $303.33 / $315.98	Professional		$176.95	$303.33	$315.98
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 $220.01 / $258.83 / $258.83	Professional		$220.01	$258.83	$258.83
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 $156.02 / $191.88 / $347.74	Professional		$156.02	$191.88	$347.74