Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $824.00 / $5,634.00	Facility		$133.19	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $139.76 / $180.28	Professional		$121.95	$139.76	$180.28
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 $109.52 / $170.25 / $269.83	Professional		$109.52	$170.25	$269.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $135.36 / $162.44	Facility		$108.29	$135.36	$162.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $129.94 / $162.44	Professional		$108.29	$129.94	$162.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $317.58 / $317.58	Facility		$142.06	$317.58	$317.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $168.00 / $278.25	Professional		$127.44	$168.00	$278.25
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,174.00 / $4,426.00	Facility		$550.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $139.91 / $243.34	Professional		$107.39	$139.91	$243.34