Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $342.64 / $7,212.00	Facility		$142.74	$342.64	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $214.35 / $277.95	Professional		$140.56	$214.35	$277.95
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 $156.44 / $247.95 / $440.65	Professional		$156.44	$247.95	$440.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $172.39 / $274.17	Facility		$135.26	$172.39	$274.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $230.01 / $300.02	Professional		$200.01	$230.01	$300.02
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 $149.54 / $257.13 / $450.70	Professional		$149.54	$257.13	$450.70
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 $207.34 / $268.79 / $436.51	Professional		$207.34	$268.79	$436.51