Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.91 / $160.63 / $5,634.00	Facility		$103.91	$160.63	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $139.87 / $184.79	Professional		$101.86	$139.87	$184.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $140.55 / $259.42	Professional		$90.52	$140.55	$259.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $127.49 / $179.86	Facility		$98.07	$127.49	$179.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $153.94 / $200.79	Professional		$133.86	$153.94	$200.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $402.00	Facility		$127.45	$127.45	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $164.18 / $299.05	Professional		$112.36	$164.18	$299.05
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $166.33 / $290.67	Professional		$131.08	$166.33	$290.67