Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $265.37 / $7,212.00	Facility		$123.35	$265.37	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $184.58 / $279.14	Professional		$117.69	$184.58	$279.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $9,027.00	Facility		$1,804.00	$4,353.00	$9,027.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $204.70 / $317.29	Professional		$145.12	$204.70	$317.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.59 / $124.38 / $281.14	Facility		$97.59	$124.38	$281.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $246.17 / $307.70	Professional		$215.40	$246.17	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $847.52 / $847.52	Facility		$847.52	$847.52	$847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $215.62 / $479.49	Professional		$127.38	$215.62	$479.49
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 $175.20 / $284.49 / $438.67	Professional		$175.20	$284.49	$438.67