Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.09 / $404.52 / $5,634.00	Facility		$140.09	$404.52	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $195.48 / $268.95	Professional		$140.09	$195.48	$268.95
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 $149.82 / $196.15 / $283.79	Professional		$149.82	$196.15	$283.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.36 / $200.08 / $304.26	Facility		$137.36	$200.08	$304.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $255.88 / $319.48	Professional		$222.50	$255.88	$319.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.90 / $192.90 / $192.90	Facility		$192.90	$192.90	$192.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $228.04 / $365.52	Professional		$156.32	$228.04	$365.52
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 $188.66 / $249.69 / $384.29	Professional		$188.66	$249.69	$384.29