Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $341.22 / $7,212.00	Facility		$127.46	$341.22	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $173.72 / $235.21	Professional		$127.46	$173.72	$235.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $192.86 / $266.14	Professional		$148.27	$192.86	$266.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $166.82 / $277.68	Facility		$130.88	$166.82	$277.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $234.81 / $299.39	Professional		$199.60	$234.81	$299.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $160.38 / $160.38	Facility		$160.38	$160.38	$160.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $208.20 / $377.34	Professional		$143.44	$208.20	$377.34
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 $179.29 / $228.31 / $367.28	Professional		$179.29	$228.31	$367.28