Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $268.31 / $4,846.00	Facility		$154.09	$268.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $234.22 / $295.44	Professional		$153.99	$234.22	$295.44
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 $137.35 / $193.61 / $267.18	Professional		$137.35	$193.61	$267.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $198.15 / $364.19	Facility		$152.41	$198.15	$364.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.61 / $301.23 / $408.92	Professional		$272.61	$301.23	$408.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $113.53 / $134.57	Facility		$113.53	$113.53	$134.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.29 / $271.70 / $460.83	Professional		$175.29	$271.70	$460.83
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 $223.01 / $289.08 / $507.05	Professional		$223.01	$289.08	$507.05