Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $434.67 / $7,212.00	Facility		$163.19	$434.67	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $223.26 / $281.61	Professional		$163.19	$223.26	$281.61
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 $135.41 / $208.01 / $287.05	Professional		$135.41	$208.01	$287.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.46 / $209.90 / $344.13	Facility		$161.46	$209.90	$344.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $284.20 / $385.80	Professional		$257.20	$284.20	$385.80
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 $184.89 / $270.58 / $424.18	Professional		$184.89	$270.58	$424.18
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 $218.79 / $284.04 / $490.10	Professional		$218.79	$284.04	$490.10