Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.99 / $891.00 / $4,846.00	Facility		$183.99	$891.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $185.19 / $248.78	Professional		$117.47	$185.19	$248.78
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 $96.64 / $181.92 / $388.35	Professional		$96.64	$181.92	$388.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.87 / $141.53 / $168.75	Facility		$108.87	$141.53	$168.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $212.24 / $256.37	Professional		$176.87	$212.24	$256.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.99 / $162.99 / $162.99	Facility		$162.99	$162.99	$162.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $243.30 / $453.87	Professional		$150.01	$243.30	$453.87
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 $167.87 / $240.63 / $361.61	Professional		$167.87	$240.63	$361.61