Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.49 / $825.51 / $7,212.00	Facility		$223.49	$825.51	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $298.45 / $387.28	Professional		$217.72	$298.45	$387.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $334.47 / $519.41	Professional		$220.78	$334.47	$519.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.12 / $267.80 / $422.96	Facility		$210.12	$267.80	$422.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $352.74 / $461.10	Professional		$307.39	$352.74	$461.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.09 / $2,158.09 / $2,158.09	Facility		$2,158.09	$2,158.09	$2,158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $397.54 / $730.07	Professional		$257.02	$397.54	$730.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $397.52 / $599.74	Professional		$320.58	$397.52	$599.74