Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $389.07 / $5,634.00	Facility		$151.38	$389.07	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $206.65 / $311.20	Professional		$145.72	$206.65	$311.20
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 $147.60 / $195.79 / $304.06	Professional		$147.60	$195.79	$304.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.12 / $189.96 / $314.45	Facility		$146.12	$189.96	$314.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $269.11 / $336.39	Professional		$224.26	$269.11	$336.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $209.82 / $248.72	Facility		$209.82	$209.82	$248.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $254.70 / $421.62	Professional		$167.14	$254.70	$421.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $256.24 / $453.54	Professional		$196.07	$256.24	$453.54