Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $386.63 / $5,634.00	Facility		$150.44	$386.63	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $205.19 / $272.64	Professional		$147.88	$205.19	$272.64
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 $138.29 / $172.87 / $245.47	Professional		$138.29	$172.87	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $206.74 / $313.67	Facility		$150.62	$206.74	$313.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $284.13 / $409.14	Professional		$227.30	$284.13	$409.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $218.49 / $259.00	Facility		$218.49	$218.49	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $264.31 / $439.66	Professional		$174.27	$264.31	$439.66
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 $203.91 / $273.54 / $504.00	Professional		$203.91	$273.54	$504.00