Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $1,386.00 / $11,093.00	Facility		$133.26	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $139.66 / $180.22	Professional		$117.76	$139.66	$180.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,200.00 / $15,727.00	Facility		$3,473.00	$7,200.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $217.10 / $299.58	Professional		$156.91	$217.10	$299.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $140.84 / $162.51	Facility		$110.51	$140.84	$162.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $130.01 / $162.51	Professional		$113.76	$130.01	$162.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,033.31 / $4,033.31 / $4,033.31	Facility		$4,033.31	$4,033.31	$4,033.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $207.13 / $460.10	Professional		$139.19	$207.13	$460.10
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 $119.15 / $176.13 / $266.20	Professional		$119.15	$176.13	$266.20