Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $151.22 / $1,370.21	Facility		$92.40	$151.22	$1,370.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $117.25 / $161.66	Professional		$90.79	$117.25	$161.66
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 $93.57 / $154.00 / $207.90	Professional		$93.57	$154.00	$207.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $116.91 / $182.12	Facility		$89.93	$116.91	$182.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $141.55 / $176.94	Professional		$117.96	$141.55	$176.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $83.67 / $99.18	Facility		$83.67	$83.67	$99.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $156.51 / $261.77	Professional		$107.66	$156.51	$261.77
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 $109.54 / $147.47 / $260.57	Professional		$109.54	$147.47	$260.57