Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $149.44 / $243.64	Facility		$94.80	$149.44	$243.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $131.38 / $165.73	Professional		$94.10	$131.38	$165.73
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 $88.19 / $121.40 / $167.53	Professional		$88.19	$121.40	$167.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $131.43 / $202.11	Facility		$98.97	$131.43	$202.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $188.03 / $270.75	Professional		$150.41	$188.03	$270.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.79 / $144.79 / $171.64	Facility		$144.79	$144.79	$171.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $160.91 / $270.75	Professional		$110.58	$160.91	$270.75
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 $127.24 / $170.94 / $310.44	Professional		$127.24	$170.94	$310.44