Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.10 / $819.41 / $7,212.00	Facility		$289.10	$819.41	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $389.80 / $512.26	Professional		$289.10	$389.80	$512.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $406.05 / $552.76	Professional		$277.58	$406.05	$552.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $413.60 / $669.74	Facility		$283.95	$413.60	$669.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.86 / $581.83 / $703.22	Professional		$484.86	$581.83	$703.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $495.06 / $763.82	Professional		$299.23	$495.06	$763.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $506.13 / $816.93	Professional		$403.56	$506.13	$816.93