Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.56 / $4,846.00 / $12,255.28	Facility		$200.56	$4,846.00	$12,255.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $200.56 / $322.77	Professional		$168.19	$200.56	$322.77
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 $182.48 / $228.10 / $323.89	Professional		$182.48	$228.10	$323.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.03 / $238.37 / $275.04	Facility		$187.03	$238.37	$275.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $210.41 / $275.04	Professional		$183.36	$210.41	$275.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.83 / $250.10 / $417.37	Professional		$184.83	$250.10	$417.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,253.00 / $6,434.00 / $10,413.00	Facility		$3,253.00	$6,434.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $219.34 / $375.88	Professional		$174.69	$219.34	$375.88