Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $406.68 / $11,093.00	Facility		$117.32	$406.68	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $222.96 / $253.96	Professional		$117.32	$222.96	$253.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $10,300.00 / $21,000.00	Facility		$1,614.00	$10,300.00	$21,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $232.04 / $365.78	Professional		$140.63	$232.04	$365.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.63 / $250.58 / $298.77	Facility		$160.63	$250.58	$298.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $433.16 / $451.20	Professional		$337.50	$433.16	$451.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.25 / $2,061.25 / $2,061.25	Facility		$2,061.25	$2,061.25	$2,061.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $263.08 / $555.39	Professional		$148.08	$263.08	$555.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $309.89 / $498.54	Professional		$193.98	$309.89	$498.54