Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $175.24 / $5,634.00	Facility		$118.97	$175.24	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $146.79 / $179.55	Professional		$100.91	$146.79	$179.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $210.30 / $315.24	Professional		$138.04	$210.30	$315.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $141.38 / $196.05	Facility		$98.18	$141.38	$196.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $179.83 / $249.00	Professional		$145.25	$179.83	$249.00
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 $126.39 / $193.63 / $393.40	Professional		$126.39	$193.63	$393.40
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 $146.91 / $207.50 / $309.64	Professional		$146.91	$207.50	$309.64