Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.02 / $433.16 / $5,634.00	Facility		$205.02	$433.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $372.57 / $505.07	Professional		$203.21	$372.57	$505.07
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 $174.84 / $322.85 / $501.82	Professional		$174.84	$322.85	$501.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.89 / $245.56 / $498.37	Facility		$188.89	$245.56	$498.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.97 / $433.16 / $541.46	Professional		$360.97	$433.16	$541.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $402.00 / $655.97	Facility		$354.09	$402.00	$655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $405.74 / $723.68	Professional		$228.89	$405.74	$723.68
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 $352.29 / $463.93 / $792.66	Professional		$352.29	$463.93	$792.66