Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.95 / $543.00 / $5,634.00	Facility		$229.95	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $281.56 / $358.00	Professional		$229.95	$281.56	$358.00
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 $221.56 / $295.63 / $418.94	Professional		$221.56	$295.63	$418.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.08 / $329.30 / $428.29	Facility		$226.08	$329.30	$428.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $377.34 / $449.70	Professional		$314.45	$377.34	$449.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.54 / $273.54 / $273.54	Facility		$273.54	$273.54	$273.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.41 / $373.35 / $560.19	Professional		$277.41	$373.35	$560.19
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 $263.08 / $356.52 / $588.35	Professional		$263.08	$356.52	$588.35