Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.99 / $131.55 / $4,846.00	Facility		$91.99	$131.55	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $126.21 / $149.58	Professional		$91.99	$126.21	$149.58
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 $103.28 / $149.51 / $201.42	Professional		$103.28	$149.51	$201.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $110.91 / $114.21	Facility		$110.91	$110.91	$114.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $116.18 / $116.18	Facility		$116.18	$116.18	$116.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $164.03 / $249.64	Professional		$113.69	$164.03	$249.64
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 $122.89 / $171.89 / $264.66	Professional		$122.89	$171.89	$264.66