Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $494.61 / $5,634.00	Facility		$155.24	$494.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $284.74 / $369.14	Professional		$155.24	$284.74	$369.14
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 $159.05 / $243.91 / $328.59	Professional		$159.05	$243.91	$328.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $202.17 / $362.43	Facility		$151.01	$202.17	$362.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.67 / $365.84 / $526.79	Professional		$292.67	$365.84	$526.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.95 / $310.81 / $908.00	Facility		$275.95	$310.81	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $299.17 / $637.34	Professional		$171.66	$299.17	$637.34
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $361.06 / $583.77	Professional		$264.87	$361.06	$583.77