Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $274.57 / $5,634.00	Facility		$163.50	$274.57	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $238.57 / $318.89	Professional		$163.50	$238.57	$318.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $217.79 / $335.29	Professional		$164.42	$217.79	$335.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $194.32 / $319.41	Facility		$152.47	$194.32	$319.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $263.13 / $343.22	Professional		$228.81	$263.13	$343.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.17 / $266.17 / $266.17	Facility		$266.17	$266.17	$266.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $226.66 / $540.72	Professional		$152.06	$226.66	$540.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,027.00 / $5,402.00	Facility		$2,400.00	$3,027.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $292.72 / $541.49	Professional		$214.22	$292.72	$541.49