Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $1,941.00 / $7,212.00	Facility		$166.99	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $166.99 / $206.75	Professional		$161.13	$166.99	$206.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,388.00	Facility		$2,234.00	$5,126.00	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $295.00 / $407.10	Professional		$183.48	$295.00	$407.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $199.38 / $230.06	Facility		$156.44	$199.38	$230.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $178.80 / $230.06	Professional		$153.37	$178.80	$230.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility		$1,061.59	$1,061.59	$1,061.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $238.01 / $420.00	Professional		$174.94	$238.01	$420.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $6,436.00	Facility		$2,400.00	$3,870.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $206.32 / $335.00	Professional		$169.77	$206.32	$335.00