Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $251.79 / $5,634.00	Facility		$91.13	$251.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $128.93 / $276.48	Professional		$75.94	$128.93	$276.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $74.05 / $122.38	Professional		$49.23	$74.05	$122.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $111.50 / $206.06	Facility		$76.55	$111.50	$206.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $178.79 / $216.37	Professional		$148.99	$178.79	$216.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $124.67 / $224.17	Professional		$64.56	$124.67	$224.17
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 $106.72 / $159.02 / $264.02	Professional		$106.72	$159.02	$264.02