Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.18 / $273.39 / $4,846.00	Facility		$159.18	$273.39	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $219.29 / $301.17	Professional		$159.18	$219.29	$301.17
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 $131.85 / $181.86 / $250.96	Professional		$131.85	$181.86	$250.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.78 / $205.11 / $371.07	Facility		$157.78	$205.11	$371.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $307.14 / $416.94	Professional		$277.95	$307.14	$416.94
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 $169.83 / $246.69 / $436.76	Professional		$169.83	$246.69	$436.76
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 $201.05 / $283.49 / $501.25	Professional		$201.05	$283.49	$501.25