Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $273.86 / $4,846.00	Facility		$166.12	$273.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $240.00 / $302.73	Professional		$165.38	$240.00	$302.73
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 $136.38 / $187.64 / $258.94	Professional		$136.38	$187.64	$258.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $212.73 / $370.55	Facility		$163.63	$212.73	$370.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $332.36 / $415.46	Professional		$276.97	$332.36	$415.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.01 / $191.01 / $226.43	Facility		$191.01	$191.01	$226.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $275.64 / $495.51	Professional		$177.75	$275.64	$495.51
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 $220.13 / $287.76 / $511.24	Professional		$220.13	$287.76	$511.24