Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.19 / $731.00 / $7,212.00	Facility		$146.19	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $242.71 / $342.26	Professional		$146.19	$242.71	$342.26
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 $216.60 / $270.76 / $384.47	Professional		$216.60	$270.76	$384.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.65 / $175.44 / $377.20	Facility		$137.65	$175.44	$377.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $326.57 / $408.21	Professional		$272.14	$326.57	$408.21
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 $182.74 / $311.62 / $598.64	Professional		$182.74	$311.62	$598.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $3,870.00 / $6,474.00	Facility		$1,403.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.61 / $327.39 / $526.67	Professional		$257.61	$327.39	$526.67