Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $288.07 / $5,634.00	Facility		$77.65	$288.07	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $186.80 / $343.55	Professional		$76.67	$186.80	$343.55
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 $59.16 / $112.75 / $232.59	Professional		$59.16	$112.75	$232.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $93.80 / $334.80	Facility		$73.59	$93.80	$334.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $288.07 / $360.09	Professional		$240.06	$288.07	$360.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $402.00 / $1,873.52	Facility		$136.18	$402.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $190.99 / $418.58	Professional		$84.40	$190.99	$418.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $250.28 / $443.08	Professional		$197.59	$250.28	$443.08