Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $136.56 / $226.12	Facility		$106.00	$136.56	$226.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $125.92 / $174.18	Professional		$101.49	$125.92	$174.18
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 $86.20 / $110.15 / $152.00	Professional		$86.20	$110.15	$152.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $143.49 / $215.24	Facility		$104.54	$143.49	$215.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $167.25 / $240.84	Professional		$133.80	$167.25	$240.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $108.93	Facility		$91.90	$91.90	$108.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $152.01 / $254.99	Professional		$115.10	$152.01	$254.99
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $152.58 / $289.51	Professional		$115.89	$152.58	$289.51