Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.60 / $558.02 / $5,634.00	Facility		$178.60	$558.02	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $238.60 / $614.19	Professional		$169.53	$238.60	$614.19
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 $158.86 / $249.86 / $354.80	Professional		$158.86	$249.86	$354.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $215.28 / $651.41	Facility		$165.60	$215.28	$651.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.02 / $558.02 / $697.53	Professional		$465.02	$558.02	$697.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $761.00 / $1,158.10	Facility		$315.74	$761.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $249.09 / $706.64	Professional		$179.83	$249.09	$706.64
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 $161.08 / $202.61 / $395.27	Professional		$161.08	$202.61	$395.27