Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $385.95 / $5,634.00	Facility		$144.87	$385.95	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $206.68 / $263.55	Professional		$142.41	$206.68	$263.55
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 $109.55 / $187.54 / $258.80	Professional		$109.55	$187.54	$258.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $182.90 / $316.36	Facility		$140.69	$182.90	$316.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.37 / $274.04 / $342.56	Professional		$228.37	$274.04	$342.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.99 / $224.99 / $266.70	Facility		$224.99	$224.99	$266.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $229.76 / $411.06	Professional		$145.37	$229.76	$411.06
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 $206.47 / $268.76 / $488.73	Professional		$206.47	$268.76	$488.73