Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $332.52 / $5,634.00	Facility		$107.73	$332.52	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $161.47 / $207.51	Professional		$107.73	$161.47	$207.51
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 $122.49 / $175.98 / $237.08	Professional		$122.49	$175.98	$237.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $152.66 / $271.74	Facility		$104.81	$152.66	$271.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $236.11 / $285.33	Professional		$196.76	$236.11	$285.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $187.28 / $187.28	Facility		$187.28	$187.28	$187.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $203.04 / $347.55	Professional		$127.04	$203.04	$347.55
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 $164.57 / $221.99 / $340.68	Professional		$164.57	$221.99	$340.68