Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $697.34 / $7,212.00	Facility		$179.84	$697.34	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $283.20 / $400.99	Professional		$179.84	$283.20	$400.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $280.39 / $387.84	Professional		$203.49	$280.39	$387.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $255.92 / $419.63	Facility		$175.70	$255.92	$419.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.41 / $366.49 / $440.62	Professional		$305.41	$366.49	$440.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $316.42 / $483.13	Professional		$206.43	$316.42	$483.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $348.30 / $545.01	Professional		$270.70	$348.30	$545.01