Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $454.04 / $5,634.00	Facility		$176.67	$454.04	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $188.03 / $272.23	Professional		$162.90	$188.03	$272.23
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 $129.97 / $200.18 / $276.24	Professional		$129.97	$200.18	$276.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.45 / $228.09 / $263.18	Facility		$175.45	$228.09	$263.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $236.41 / $308.36	Professional		$205.57	$236.41	$308.36
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 $177.47 / $241.07 / $397.27	Professional		$177.47	$241.07	$397.27
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 $176.94 / $223.94 / $395.44	Professional		$176.94	$223.94	$395.44