Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.97 / $543.89 / $11,093.00	Facility		$152.97	$543.89	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $184.74 / $271.66	Professional		$140.69	$184.74	$271.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $187.43 / $298.98	Professional		$147.97	$187.43	$298.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $199.77 / $286.42	Facility		$153.66	$199.77	$286.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $253.84 / $317.30	Professional		$211.53	$253.84	$317.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $235.63 / $371.12	Professional		$168.27	$235.63	$371.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $223.67 / $390.82	Professional		$171.23	$223.67	$390.82