Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $747.31 / $11,093.00	Facility		$186.13	$747.31	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $252.56 / $338.56	Professional		$183.36	$252.56	$338.56
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 $139.12 / $293.17 / $404.57	Professional		$139.12	$293.17	$404.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $265.55 / $436.05	Facility		$204.27	$265.55	$436.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $383.27 / $479.09	Professional		$319.39	$383.27	$479.09
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 $222.93 / $335.49 / $571.58	Professional		$222.93	$335.49	$571.58
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 $249.54 / $335.78 / $581.13	Professional		$249.54	$335.78	$581.13