Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.01 / $387.34 / $7,954.00	Facility		$132.01	$387.34	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $225.46 / $422.53	Professional		$124.85	$225.46	$422.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $96.56 / $147.91	Professional		$80.23	$96.56	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $167.17 / $422.51	Facility		$128.59	$167.17	$422.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $335.19 / $449.22	Professional		$299.48	$335.19	$449.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $169.62	Facility		$143.09	$143.09	$169.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $269.50 / $493.60	Professional		$138.78	$269.50	$493.60
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 $218.20 / $295.54 / $524.48	Professional		$218.20	$295.54	$524.48