Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $221.54 / $5,634.00	Facility		$99.42	$221.54	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $199.94 / $285.85	Professional		$98.12	$199.94	$285.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $8,240.00	Facility		$1,682.00	$3,840.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $319.41 / $518.69	Professional		$166.94	$319.41	$518.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $99.93 / $231.80	Facility		$78.41	$99.93	$231.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $200.33 / $250.41	Professional		$170.28	$200.33	$250.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.11 / $2,129.11 / $2,129.11	Facility		$2,129.11	$2,129.11	$2,129.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $262.52 / $514.62	Professional		$109.84	$262.52	$514.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $291.45 / $427.50	Professional		$179.33	$291.45	$427.50