Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.23 / $731.00 / $7,212.00	Facility		$209.23	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $335.44 / $509.79	Professional		$194.36	$335.44	$509.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $310.76 / $448.69	Professional		$184.22	$310.76	$448.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.35 / $263.06 / $558.52	Facility		$202.35	$263.06	$558.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.83 / $489.40 / $611.75	Professional		$407.83	$489.40	$611.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $435.88 / $734.10	Professional		$236.26	$435.88	$734.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.09 / $548.08 / $915.34	Professional		$358.09	$548.08	$915.34