Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $309.05 / $7,212.00	Facility		$105.16	$309.05	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $147.30 / $194.97	Professional		$104.89	$147.30	$194.97
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 $100.39 / $152.51 / $217.24	Professional		$100.39	$152.51	$217.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.06 / $150.11 / $251.55	Facility		$103.06	$150.11	$251.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.87 / $219.44 / $264.12	Professional		$182.87	$219.44	$264.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $182.50 / $182.50	Facility		$182.50	$182.50	$182.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $173.40 / $280.01	Professional		$106.56	$173.40	$280.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $196.96 / $315.51	Professional		$152.02	$196.96	$315.51