Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $381.54 / $5,634.00	Facility		$196.27	$381.54	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $276.64 / $436.51	Professional		$194.51	$276.64	$436.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $266.47 / $447.31	Professional		$182.78	$266.47	$447.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.04 / $239.25 / $435.09	Facility		$184.04	$239.25	$435.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $381.54 / $476.93	Professional		$317.95	$381.54	$476.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.12 / $338.12 / $761.00	Facility		$338.12	$338.12	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $299.13 / $533.79	Professional		$187.89	$299.13	$533.79
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $338.74 / $616.04	Professional		$260.27	$338.74	$616.04