Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.78 / $393.77 / $5,634.00	Facility		$145.78	$393.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $202.12 / $254.95	Professional		$145.61	$202.12	$254.95
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 $120.62 / $184.81 / $255.03	Professional		$120.62	$184.81	$255.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $187.37 / $311.69	Facility		$144.13	$187.37	$311.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $257.47 / $349.50	Professional		$233.00	$257.47	$349.50
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 $165.46 / $246.69 / $386.32	Professional		$165.46	$246.69	$386.32
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 $194.85 / $255.40 / $467.08	Professional		$194.85	$255.40	$467.08