Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $477.97 / $5,634.00	Facility		$185.98	$477.97	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $215.90 / $277.31	Professional		$170.30	$215.90	$277.31
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 $99.37 / $173.93 / $246.98	Professional		$99.37	$173.93	$246.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.78 / $260.48 / $390.72	Facility		$189.78	$260.48	$390.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $277.31 / $399.33	Professional		$221.85	$277.31	$399.33
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 $172.77 / $242.76 / $377.79	Professional		$172.77	$242.76	$377.79
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 $157.41 / $215.32 / $398.34	Professional		$157.41	$215.32	$398.34