Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $731.00 / $7,212.00	Facility		$129.21	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $180.71 / $226.11	Professional		$129.21	$180.71	$226.11
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 $126.60 / $185.72 / $281.99	Professional		$126.60	$185.72	$281.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $184.20 / $293.27	Facility		$126.46	$184.20	$293.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.56 / $256.27 / $307.94	Professional		$213.56	$256.27	$307.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Facility		$202.00	$202.00	$202.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $220.86 / $359.31	Professional		$151.96	$220.86	$359.31
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 $179.76 / $241.75 / $371.18	Professional		$179.76	$241.75	$371.18