Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $390.69 / $7,212.00	Facility		$108.41	$390.69	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $144.54 / $179.95	Professional		$108.41	$144.54	$179.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $170.13 / $295.27	Professional		$107.34	$170.13	$295.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $132.97 / $203.15	Facility		$104.34	$132.97	$203.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $177.85 / $222.32	Professional		$148.21	$177.85	$222.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $189.49 / $333.60	Professional		$113.57	$189.49	$333.60
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 $140.97 / $186.35 / $325.64	Professional		$140.97	$186.35	$325.64