Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.24 / $329.95 / $7,212.00	Facility		$91.24	$329.95	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $123.02 / $174.88	Professional		$91.24	$123.02	$174.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $127.29 / $182.00	Professional		$88.97	$127.29	$182.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $129.87 / $193.59	Facility		$89.16	$129.87	$193.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $168.55 / $203.27	Professional		$140.46	$168.55	$203.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $156.72 / $248.12	Professional		$110.55	$156.72	$248.12
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 $118.82 / $158.43 / $265.67	Professional		$118.82	$158.43	$265.67