Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $321.01 / $7,212.00	Facility		$195.22	$321.01	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $271.36 / $321.01	Professional		$194.22	$271.36	$321.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $233.00 / $361.83	Professional		$159.62	$233.00	$361.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $240.76 / $361.29	Facility		$188.90	$240.76	$361.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $321.01 / $401.27	Professional		$267.51	$321.01	$401.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $365.92	Facility		$365.92	$365.92	$365.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $299.94 / $595.55	Professional		$198.71	$299.94	$595.55
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $354.73 / $650.47	Professional		$263.31	$354.73	$650.47