Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.80 / $927.00 / $7,212.00	Facility		$178.80	$927.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $178.80 / $212.86	Professional		$149.97	$178.80	$212.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $210.97 / $291.13	Professional		$167.64	$210.97	$291.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.81 / $212.60 / $245.31	Facility		$166.81	$212.60	$245.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $188.07 / $245.31	Professional		$163.54	$188.07	$245.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $226.71 / $360.01	Professional		$178.90	$226.71	$360.01
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 $157.16 / $196.94 / $337.73	Professional		$157.16	$196.94	$337.73