Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $3,500.00 / $5,634.00	Facility		$115.39	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $115.39 / $160.26	Professional		$20.00	$115.39	$160.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $129.72 / $189.00	Professional		$89.87	$129.72	$189.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.01 / $3,270.08 / $5,196.96	Facility		$218.01	$3,270.08	$5,196.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $206.70 / $206.70	Professional		$175.70	$206.70	$206.70
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $159.51 / $259.58	Professional		$121.96	$159.51	$259.58