Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $824.00 / $5,634.00	Facility		$189.91	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $193.63 / $258.42	Professional		$159.99	$193.63	$258.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $4,097.10 / $8,230.00	Facility		$575.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $165.47 / $236.97	Professional		$111.96	$165.47	$236.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $193.00 / $216.16	Facility		$154.40	$193.00	$216.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $185.28 / $231.60	Professional		$154.40	$185.28	$231.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $317.58 / $317.58	Facility		$193.75	$317.58	$317.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $187.78 / $294.85	Professional		$131.82	$187.78	$294.85
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,252.00 / $4,426.00	Facility		$500.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $169.39 / $323.57	Professional		$113.85	$169.39	$323.57