Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $302.85 / $5,634.00	Facility		$89.92	$302.85	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $139.34 / $180.65	Professional		$89.92	$139.34	$180.65
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 $90.90 / $144.08 / $201.81	Professional		$90.90	$144.08	$201.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.53 / $133.33 / $245.93	Facility		$91.53	$133.33	$245.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $215.04 / $258.23	Professional		$179.20	$215.04	$258.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $178.16 / $178.16	Facility		$178.16	$178.16	$178.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $174.49 / $306.35	Professional		$107.48	$174.49	$306.35
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 $141.68 / $185.22 / $289.31	Professional		$141.68	$185.22	$289.31