Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $834.00 / $11,093.00	Facility		$93.92	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $101.73 / $178.05	Professional		$81.31	$101.73	$178.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,200.00 / $15,727.00	Facility		$3,473.00	$7,200.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $109.01 / $169.29	Professional		$81.14	$109.01	$169.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $130.47 / $191.87	Facility		$90.60	$130.47	$191.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $168.84 / $243.12	Professional		$137.77	$168.84	$243.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.66 / $2,982.66 / $2,982.66	Facility		$2,982.66	$2,982.66	$2,982.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $121.09 / $222.51	Professional		$87.57	$121.09	$222.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $130.63 / $207.83	Professional		$92.16	$130.63	$207.83