Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.27 / $1,386.00 / $11,093.00	Facility		$147.27	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $154.85 / $199.80	Professional		$135.01	$154.85	$199.80
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 $156.83 / $235.40 / $324.85	Professional		$156.83	$235.40	$324.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.12 / $155.65 / $179.60	Facility		$122.12	$155.65	$179.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $143.68 / $179.60	Professional		$125.72	$143.68	$179.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,866.88 / $5,866.88 / $5,866.88	Facility		$5,866.88	$5,866.88	$5,866.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $205.75 / $529.46	Professional		$153.44	$205.75	$529.46
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 $128.44 / $179.60 / $266.31	Professional		$128.44	$179.60	$266.31