Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.47 / $214.52 / $5,634.00	Facility		$83.47	$214.52	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $111.02 / $150.52	Professional		$81.99	$111.02	$150.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $155.04 / $246.24	Professional		$90.67	$155.04	$246.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $107.48 / $153.54	Facility		$82.68	$107.48	$153.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $129.71 / $171.00	Professional		$114.00	$129.71	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $101.87 / $120.75	Facility		$101.87	$101.87	$120.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $152.38 / $266.45	Professional		$97.05	$152.38	$266.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $120.81 / $222.75	Professional		$92.31	$120.81	$222.75