Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.94 / $367.84 / $7,212.00	Facility		$180.94	$367.84	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $263.58 / $367.84	Professional		$180.94	$263.58	$367.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.15 / $388.87 / $612.21	Professional		$245.15	$388.87	$612.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $230.20 / $431.69	Facility		$180.62	$230.20	$431.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $343.92 / $453.27	Professional		$299.06	$343.92	$453.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.09 / $358.13 / $634.32	Professional		$206.09	$358.13	$634.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $357.80 / $576.28	Professional		$266.92	$357.80	$576.28