Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.34 / $789.43 / $11,093.00	Facility		$171.34	$789.43	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $278.32 / $414.68	Professional		$164.26	$278.32	$414.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $244.36 / $346.99	Professional		$129.80	$244.36	$346.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.33 / $254.90 / $395.09	Facility		$173.33	$254.90	$395.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.87 / $357.44 / $536.16	Professional		$297.87	$357.44	$536.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $349.73 / $629.64	Professional		$194.37	$349.73	$629.64
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 $284.52 / $387.58 / $683.69	Professional		$284.52	$387.58	$683.69