Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.75 / $359.03 / $5,634.00	Facility		$212.75	$359.03	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $299.88 / $418.09	Professional		$207.80	$299.88	$418.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $226.84 / $352.28	Professional		$159.02	$226.84	$352.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.79 / $257.13 / $412.13	Facility		$197.79	$257.13	$412.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.19 / $337.56 / $448.79	Professional		$299.19	$337.56	$448.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $402.00 / $1,868.80	Facility		$362.63	$402.00	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.37 / $328.54 / $561.19	Professional		$222.37	$328.54	$561.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $347.67 / $605.54	Professional		$270.57	$347.67	$605.54