Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $293.88 / $5,634.00	Facility		$91.92	$293.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $123.47 / $182.58	Professional		$87.18	$123.47	$182.58
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 $80.13 / $94.28 / $133.87	Professional		$80.13	$94.28	$133.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $126.32 / $189.48	Facility		$91.58	$126.32	$189.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $156.21 / $224.94	Professional		$124.97	$156.21	$224.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $109.68 / $130.01	Facility		$109.68	$109.68	$130.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $141.94 / $229.00	Professional		$107.53	$141.94	$229.00
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 $109.52 / $143.66 / $257.04	Professional		$109.52	$143.66	$257.04