Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $280.12 / $5,634.00	Facility		$177.21	$280.12	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $228.81 / $319.44	Professional		$171.74	$228.81	$319.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $188.53 / $292.22	Professional		$139.37	$188.53	$292.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $212.75 / $323.08	Facility		$163.65	$212.75	$323.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $280.12 / $350.15	Professional		$233.43	$280.12	$350.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $365.92 / $402.00	Facility		$302.79	$365.92	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $258.45 / $450.09	Professional		$186.26	$258.45	$450.09
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.41 / $267.36 / $460.52	Professional		$215.41	$267.36	$460.52