Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $824.00 / $5,634.00	Facility		$108.88	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $114.59 / $155.99	Professional		$97.88	$114.59	$155.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,352.00 / $6,008.00	Facility		$600.00	$3,352.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $103.83 / $139.87	Professional		$88.25	$103.83	$139.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $110.65 / $123.93	Facility		$88.52	$110.65	$123.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $101.80 / $132.78	Professional		$88.52	$101.80	$132.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $133.33 / $186.25	Professional		$97.37	$133.33	$186.25
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,253.00 / $4,426.00	Facility		$866.00	$2,253.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $119.88 / $196.91	Professional		$89.40	$119.88	$196.91