Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.07 / $300.62 / $5,634.00	Facility		$102.07	$300.62	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $140.52 / $184.49	Professional		$101.47	$140.52	$184.49
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 $87.60 / $142.22 / $204.70	Professional		$87.60	$142.22	$204.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $145.56 / $244.93	Facility		$99.93	$145.56	$244.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $213.46 / $257.18	Professional		$177.88	$213.46	$257.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.43 / $176.43 / $176.43	Facility		$176.43	$176.43	$176.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $163.76 / $273.32	Professional		$97.95	$163.76	$273.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,357.86 / $2,715.00 / $4,078.00	Facility		$1,357.86	$2,715.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $191.48 / $308.02	Professional		$148.80	$191.48	$308.02