Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $543.00 / $5,634.00	Facility		$146.10	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $211.85 / $273.80	Professional		$141.62	$211.85	$273.80
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 $116.26 / $171.35 / $236.46	Professional		$116.26	$171.35	$236.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.55 / $184.02 / $328.97	Facility		$141.55	$184.02	$328.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.88 / $285.45 / $356.82	Professional		$237.88	$285.45	$356.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,125.20	Facility		$949.22	$949.22	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $227.31 / $357.69	Professional		$151.02	$227.31	$357.69
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 $209.72 / $270.67 / $479.09	Professional		$209.72	$270.67	$479.09