Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $385.88 / $7,212.00	Facility		$150.19	$385.88	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $336.89 / $462.04	Professional		$150.19	$336.89	$462.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $358.01 / $1,236.31	Professional		$201.69	$358.01	$1,236.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $189.94 / $457.66	Facility		$149.03	$189.94	$457.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.72 / $360.78 / $480.55	Professional		$313.72	$360.78	$480.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $308.64 / $308.64	Facility		$308.64	$308.64	$308.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $350.84 / $807.98	Professional		$168.87	$350.84	$807.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.36 / $491.47 / $750.27	Professional		$344.36	$491.47	$750.27