Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $180.98 / $5,634.00	Facility		$89.99	$180.98	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $134.33 / $208.10	Professional		$86.93	$134.33	$208.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $123.83 / $223.99	Professional		$72.54	$123.83	$223.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $108.84 / $207.54	Facility		$83.72	$108.84	$207.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $173.44 / $226.23	Professional		$150.82	$173.44	$226.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $163.86 / $761.00	Facility		$154.03	$163.86	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $149.93 / $275.00	Professional		$95.39	$149.93	$275.00
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $160.79 / $276.56	Professional		$126.00	$160.79	$276.56