Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.61 / $543.00 / $5,634.00	Facility		$244.61	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $330.22 / $411.25	Professional		$240.32	$330.22	$411.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $324.08 / $478.33	Professional		$232.10	$324.08	$478.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.33 / $313.73 / $461.23	Facility		$241.33	$313.73	$461.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.05 / $408.06 / $510.08	Professional		$340.05	$408.06	$510.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.03 / $329.03 / $390.03	Facility		$329.03	$329.03	$390.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $387.78 / $640.36	Professional		$269.07	$387.78	$640.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.41 / $402.82 / $719.01	Professional		$315.41	$402.82	$719.01