Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.27 / $543.00 / $5,634.00	Facility		$192.27	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $255.36 / $340.09	Professional		$188.05	$255.36	$340.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $194.09 / $307.63	Professional		$132.46	$194.09	$307.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.72 / $245.62 / $411.86	Facility		$192.72	$245.62	$411.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $343.77 / $449.37	Professional		$299.58	$343.77	$449.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $282.08 / $552.55	Professional		$183.72	$282.08	$552.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $352.29 / $631.63	Professional		$251.19	$352.29	$631.63