Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.75 / $353.14 / $6,653.28	Facility		$163.75	$353.14	$6,653.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $225.67 / $300.89	Professional		$163.75	$225.67	$300.89
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 $160.59 / $248.80 / $394.33	Professional		$160.59	$248.80	$394.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $199.54 / $285.97	Facility		$156.56	$199.54	$285.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $250.75 / $313.44	Professional		$208.96	$250.75	$313.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $256.20 / $471.85	Professional		$164.56	$256.20	$471.85
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 $205.13 / $253.79 / $452.71	Professional		$205.13	$253.79	$452.71