Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.30 / $471.07 / $5,634.00	Facility		$216.30	$471.07	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $235.57 / $331.60	Professional		$201.37	$235.57	$331.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $266.62 / $367.93	Professional		$157.35	$266.62	$367.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $279.70 / $330.91	Facility		$215.16	$279.70	$330.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $292.91 / $366.14	Professional		$244.09	$292.91	$366.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.93 / $304.00 / $494.87	Professional		$237.93	$304.00	$494.87
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $273.95 / $482.89	Professional		$209.87	$273.95	$482.89