Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.50 / $571.83 / $7,212.00	Facility		$222.50	$571.83	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $264.56 / $382.71	Professional		$209.25	$264.56	$382.71
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 $214.23 / $308.51 / $435.40	Professional		$214.23	$308.51	$435.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.11 / $313.55 / $470.33	Facility		$220.11	$313.55	$470.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.36 / $359.20 / $517.25	Professional		$287.36	$359.20	$517.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $356.19 / $581.28	Professional		$260.39	$356.19	$581.28
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 $245.14 / $333.63 / $573.09	Professional		$245.14	$333.63	$573.09