Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $697.34 / $7,212.00	Facility		$69.00	$697.34	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $115.83 / $171.94	Professional		$69.00	$115.83	$171.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $119.52 / $169.37	Professional		$76.95	$119.52	$169.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $95.29 / $108.78	Facility		$75.97	$95.29	$108.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $151.47 / $185.91	Professional		$137.71	$151.47	$185.91
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 $92.91 / $141.57 / $213.12	Professional		$92.91	$141.57	$213.12
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 $116.12 / $161.12 / $262.16	Professional		$116.12	$161.12	$262.16