Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.72 / $1,386.00 / $4,846.00	Facility		$127.72	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $127.72 / $173.72	Professional		$111.78	$127.72	$173.72
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 $50.94 / $59.93 / $80.73	Professional		$50.94	$59.93	$80.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $1,633.30 / $2,699.73	Facility		$108.89	$1,633.30	$2,699.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $79.11 / $79.11	Professional		$67.23	$79.11	$79.11
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 $254.18 / $344.76 / $554.64	Professional		$254.18	$344.76	$554.64