Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $326.11 / $5,634.00	Facility		$193.97	$326.11	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $243.86 / $382.72	Professional		$182.70	$243.86	$382.72
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 $137.38 / $236.35 / $359.15	Professional		$137.38	$236.35	$359.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $227.67 / $377.69	Facility		$175.13	$227.67	$377.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.76 / $326.11 / $407.64	Professional		$271.76	$326.11	$407.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $328.60 / $402.00	Facility		$314.44	$328.60	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $251.90 / $478.15	Professional		$151.06	$251.90	$478.15
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $289.70 / $572.79	Professional		$194.97	$289.70	$572.79