Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $824.00 / $5,634.00	Facility		$97.00	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $125.16 / $190.29	Professional		$83.21	$125.16	$190.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.79 / $4,320.00 / $8,230.00	Facility		$913.79	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $100.98 / $156.61	Professional		$69.02	$100.98	$156.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $96.76 / $156.33	Facility		$75.92	$96.76	$156.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $135.84 / $169.80	Professional		$118.86	$135.84	$169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $138.47 / $314.45	Professional		$91.66	$138.47	$314.45
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 $124.01 / $158.06 / $273.24	Professional		$124.01	$158.06	$273.24