Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.01 / $210.53 / $5,634.00	Facility		$155.01	$210.53	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $176.93 / $218.57	Professional		$155.01	$176.93	$218.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $252.12 / $396.13	Professional		$179.75	$252.12	$396.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.30 / $195.38 / $233.67	Facility		$153.30	$195.38	$233.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $205.39 / $256.74	Professional		$171.16	$205.39	$256.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $111.84	Facility		$111.84	$111.84	$111.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $231.90 / $384.67	Professional		$171.34	$231.90	$384.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,716.78 / $5,174.00 / $9,243.00	Facility		$1,716.78	$5,174.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $219.04 / $369.87	Professional		$177.06	$219.04	$369.87