Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $798.15 / $5,634.00	Facility		$150.21	$798.15	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $675.62 / $930.91	Professional		$150.21	$675.62	$930.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $440.28 / $1,663.87	Professional		$220.14	$440.28	$1,663.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $224.40 / $913.87	Facility		$161.34	$224.40	$913.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $681.35 / $843.57 / $1,168.02	Professional		$681.35	$843.57	$1,168.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.13 / $791.13 / $791.13	Facility		$791.13	$791.13	$791.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $672.69 / $1,471.13	Professional		$169.35	$672.69	$1,471.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.26 / $933.50 / $1,461.46	Professional		$692.26	$933.50	$1,461.46