Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $731.00 / $7,212.00	Facility		$240.45	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $334.74 / $434.26	Professional		$240.45	$334.74	$434.26
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 $259.39 / $327.12 / $479.85	Professional		$259.39	$327.12	$479.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.57 / $340.21 / $498.66	Facility		$233.57	$340.21	$498.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.89 / $437.87 / $523.60	Professional		$364.89	$437.87	$523.60
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 $271.24 / $396.27 / $591.05	Professional		$271.24	$396.27	$591.05
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 $310.16 / $408.18 / $635.04	Professional		$310.16	$408.18	$635.04