Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $183.97 / $4,846.00	Facility		$111.04	$183.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $173.85 / $212.92	Professional		$111.04	$173.85	$212.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $172.93 / $300.02	Professional		$94.83	$172.93	$300.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.10 / $140.32 / $233.90	Facility		$110.10	$140.32	$233.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $203.60 / $266.14	Professional		$177.43	$203.60	$266.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $182.85 / $421.39	Professional		$110.97	$182.85	$421.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $230.58 / $409.72	Professional		$174.77	$230.58	$409.72