Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.25 / $429.83 / $5,634.00	Facility		$167.25	$429.83	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $177.46 / $246.60	Professional		$160.13	$177.46	$246.60
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 $118.92 / $197.62 / $272.70	Professional		$118.92	$197.62	$272.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.12 / $233.38 / $350.07	Facility		$177.12	$233.38	$350.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $231.11 / $332.81	Professional		$184.89	$231.11	$332.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $162.13 / $192.19	Facility		$162.13	$162.13	$192.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $224.17 / $383.40	Professional		$170.51	$224.17	$383.40
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 $160.43 / $201.47 / $371.59	Professional		$160.43	$201.47	$371.59