Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $208.12 / $325.41	Facility		$126.62	$208.12	$325.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $182.17 / $229.79	Professional		$126.62	$182.17	$229.79
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 $113.11 / $159.75 / $220.45	Professional		$113.11	$159.75	$220.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.27 / $162.85 / $281.83	Facility		$125.27	$162.85	$281.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $253.04 / $316.31	Professional		$210.87	$253.04	$316.31
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 $143.84 / $212.55 / $374.89	Professional		$143.84	$212.55	$374.89
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 $173.31 / $230.05 / $396.43	Professional		$173.31	$230.05	$396.43