Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $731.00 / $7,212.00	Facility		$112.92	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $257.57 / $719.21	Professional		$112.92	$257.57	$719.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $542.14 / $779.11	Professional		$129.53	$542.14	$779.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $158.38 / $777.47	Facility		$108.73	$158.38	$777.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.36 / $591.13 / $816.34	Professional		$556.36	$591.13	$816.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $318.77 / $1,038.81	Professional		$149.37	$318.77	$1,038.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.49 / $719.29 / $1,074.06	Professional		$474.49	$719.29	$1,074.06