Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $114.95 / $193.69	Facility		$86.24	$114.95	$193.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $112.26 / $128.38	Professional		$85.99	$112.26	$128.38
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 $71.40 / $94.04 / $129.77	Professional		$71.40	$94.04	$129.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $110.60 / $153.97	Facility		$85.08	$110.60	$153.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $126.07 / $171.92	Professional		$114.61	$126.07	$171.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $98.84 / $117.16	Facility		$98.84	$98.84	$117.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $128.63 / $211.39	Professional		$92.88	$128.63	$211.39
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 $97.55 / $126.67 / $224.21	Professional		$97.55	$126.67	$224.21