Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $194.59 / $7,212.00	Facility		$144.27	$194.59	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $150.55 / $194.59	Professional		$125.51	$150.55	$194.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $162.02 / $243.33	Professional		$129.61	$162.02	$243.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $171.93 / $219.27	Facility		$134.90	$171.93	$219.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $189.84 / $237.30	Professional		$158.19	$189.84	$237.30
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 $136.12 / $179.97 / $314.08	Professional		$136.12	$179.97	$314.08
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 $129.16 / $168.60 / $278.70	Professional		$129.16	$168.60	$278.70