Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.93 / $1,386.00 / $14,063.00	Facility		$178.93	$1,386.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $188.37 / $243.06	Professional		$170.34	$188.37	$243.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $26,904.00 / $50,875.00	Facility		$1,646.00	$26,904.00	$50,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $297.80 / $410.96	Professional		$192.33	$297.80	$410.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $189.11 / $218.21	Facility		$148.38	$189.11	$218.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $174.56 / $218.21	Professional		$148.38	$174.56	$218.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,941.65 / $9,941.65 / $9,941.65	Facility		$9,941.65	$9,941.65	$9,941.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $257.50 / $612.55	Professional		$172.22	$257.50	$612.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $220.35 / $326.57	Professional		$159.85	$220.35	$326.57