Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $253.34 / $5,634.00	Facility		$163.60	$253.34	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $212.15 / $284.08	Professional		$158.29	$212.15	$284.08
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 $120.91 / $166.60 / $258.23	Professional		$120.91	$166.60	$258.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $196.53 / $290.17	Facility		$151.18	$196.53	$290.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $242.26 / $316.68	Professional		$211.12	$242.26	$316.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $193.78 / $761.00	Facility		$193.78	$193.78	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $242.02 / $419.52	Professional		$164.28	$242.02	$419.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,782.00 / $6,436.00	Facility		$1,000.00	$3,782.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $251.23 / $417.69	Professional		$198.59	$251.23	$417.69