Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $1,386.00 / $7,212.00	Facility		$185.72	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $256.54 / $361.00	Professional		$185.72	$256.54	$361.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $302.20 / $453.00	Professional		$241.60	$302.20	$453.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $242.41 / $282.81	Facility		$202.01	$242.41	$282.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $306.85 / $376.58	Professional		$278.95	$306.85	$376.58
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 $229.54 / $332.06 / $479.76	Professional		$229.54	$332.06	$479.76
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 $245.83 / $330.53 / $502.84	Professional		$245.83	$330.53	$502.84