Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $468.18 / $5,634.00	Facility		$108.86	$468.18	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $162.43 / $209.77	Professional		$106.00	$162.43	$209.77
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 $106.19 / $172.82 / $247.46	Professional		$106.19	$172.82	$247.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $129.99 / $228.56	Facility		$89.24	$129.99	$228.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $199.79 / $239.98	Professional		$166.49	$199.79	$239.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.26 / $161.26 / $161.26	Facility		$161.26	$161.26	$161.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $181.26 / $291.14	Professional		$121.97	$181.26	$291.14
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 $150.22 / $200.30 / $304.89	Professional		$150.22	$200.30	$304.89