Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $536.08 / $5,634.00	Facility		$169.10	$536.08	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $211.69 / $280.48	Professional		$165.61	$211.69	$280.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $215.93 / $335.33	Professional		$140.58	$215.93	$335.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $207.47 / $277.38	Facility		$162.78	$207.47	$277.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.62 / $245.54 / $306.93	Professional		$204.62	$245.54	$306.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $260.72 / $453.62	Professional		$176.30	$260.72	$453.62
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 $202.95 / $240.76 / $408.99	Professional		$202.95	$240.76	$408.99