Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.80 / $381.34 / $7,212.00	Facility		$155.80	$381.34	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $249.56 / $366.00	Professional		$149.54	$249.56	$366.00
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 $130.16 / $227.44 / $560.91	Professional		$130.16	$227.44	$560.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.53 / $186.76 / $385.83	Facility		$146.53	$186.76	$385.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $330.94 / $413.67	Professional		$275.77	$330.94	$413.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.63 / $256.63 / $256.63	Facility		$256.63	$256.63	$256.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $326.52 / $648.87	Professional		$175.74	$326.52	$648.87
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 $269.06 / $347.75 / $536.11	Professional		$269.06	$347.75	$536.11