Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $529.78 / $5,634.00	Facility		$146.06	$529.78	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $193.51 / $278.29	Professional		$142.47	$193.51	$278.29
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 $116.26 / $136.78 / $194.22	Professional		$116.26	$136.78	$194.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.61 / $224.79 / $330.57	Facility		$161.61	$224.79	$330.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.57 / $255.75 / $354.12	Professional		$206.57	$255.75	$354.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $176.86 / $176.86	Facility		$176.86	$176.86	$176.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $226.76 / $434.04	Professional		$165.63	$226.76	$434.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $227.05 / $422.33	Professional		$192.91	$227.05	$422.33