Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $380.81 / $5,634.00	Facility		$216.81	$380.81	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $305.61 / $439.54	Professional		$214.20	$305.61	$439.54
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 $217.90 / $391.79 / $596.55	Professional		$217.90	$391.79	$596.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.66 / $262.12 / $432.65	Facility		$205.66	$262.12	$432.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $380.81 / $476.01	Professional		$317.33	$380.81	$476.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.41 / $300.41 / $761.00	Facility		$300.41	$300.41	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.76 / $347.63 / $592.33	Professional		$233.76	$347.63	$592.33
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 $279.52 / $348.32 / $626.85	Professional		$279.52	$348.32	$626.85