Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $125.39 / $4,846.00	Facility		$90.06	$125.39	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $112.71 / $139.80	Professional		$87.19	$112.71	$139.80
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 $72.31 / $104.49 / $165.22	Professional		$72.31	$104.49	$165.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $107.39 / $157.91	Facility		$84.26	$107.39	$157.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $132.43 / $173.12	Professional		$115.41	$132.43	$173.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $154.08 / $266.19	Professional		$100.70	$154.08	$266.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $158.54 / $254.26	Professional		$122.24	$158.54	$254.26