Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $1,386.00 / $11,093.00	Facility		$143.37	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $149.86 / $193.37	Professional		$131.22	$149.86	$193.37
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 $154.03 / $251.90 / $347.62	Professional		$154.03	$251.90	$347.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $151.53 / $175.33	Facility		$118.89	$151.53	$175.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $139.87 / $174.84	Professional		$122.39	$139.87	$174.84
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 $149.16 / $213.47 / $528.71	Professional		$149.16	$213.47	$528.71
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 $123.08 / $167.04 / $262.77	Professional		$123.08	$167.04	$262.77