Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.68 / $1,386.00 / $14,063.00	Facility		$207.68	$1,386.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $207.68 / $254.35	Professional		$200.15	$207.68	$254.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $334.81 / $462.03	Professional		$228.62	$334.81	$462.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.81 / $271.23 / $312.95	Facility		$212.81	$271.23	$312.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $250.37 / $312.95	Professional		$208.64	$250.37	$312.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $303.48 / $698.31	Professional		$237.96	$303.48	$698.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.35 / $277.95 / $418.99	Professional		$215.35	$277.95	$418.99