Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.96 / $400.32 / $5,634.00	Facility		$178.96	$400.32	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $258.93 / $406.84	Professional		$178.96	$258.93	$406.84
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 $180.56 / $264.66 / $392.08	Professional		$180.56	$264.66	$392.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.97 / $254.85 / $448.67	Facility		$174.97	$254.85	$448.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.47 / $390.56 / $471.11	Professional		$325.47	$390.56	$471.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $311.39 / $480.07	Professional		$212.37	$311.39	$480.07
United Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $2,049.00 / $4,395.00	Facility		$334.84	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.34 / $336.75 / $555.64	Professional		$238.34	$336.75	$555.64