Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $3,547.08 / $9,687.20	Facility		$116.27	$3,547.08	$9,687.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $116.27 / $193.92	Professional		$75.08	$116.27	$193.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $6,653.00 / $11,752.00	Facility		$2,807.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $122.40 / $173.80	Professional		$100.36	$122.40	$173.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $161.75 / $242.63	Facility		$114.58	$161.75	$242.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $140.18 / $194.10	Professional		$113.22	$140.18	$194.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $1,868.80	Facility		$1,868.80	$1,868.80	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $148.58 / $250.81	Professional		$120.68	$148.58	$250.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $138.58 / $206.76	Professional		$110.95	$138.58	$206.76