Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $235.97 / $5,634.00	Facility		$119.49	$235.97	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $185.12 / $271.45	Professional		$116.15	$185.12	$271.45
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 $116.72 / $220.71 / $348.25	Professional		$116.72	$220.71	$348.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $145.13 / $272.39	Facility		$113.87	$145.13	$272.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.64 / $226.14 / $294.95	Professional		$196.64	$226.14	$294.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $215.89 / $761.00	Facility		$203.80	$215.89	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $205.42 / $362.25	Professional		$129.04	$205.42	$362.25
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 $176.89 / $223.39 / $380.32	Professional		$176.89	$223.39	$380.32