Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.21 / $1,386.00 / $5,634.00	Facility		$199.21	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $199.21 / $237.16	Professional		$175.00	$199.21	$237.16
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 $190.37 / $244.74 / $340.51	Professional		$190.37	$244.74	$340.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $236.83 / $273.27	Facility		$185.82	$236.83	$273.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $209.51 / $273.27	Professional		$182.18	$209.51	$273.27
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 $206.24 / $257.91 / $432.66	Professional		$206.24	$257.91	$432.66
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 $175.75 / $218.62 / $348.21	Professional		$175.75	$218.62	$348.21