Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $242.00 / $5,634.00	Facility		$141.36	$242.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $212.50 / $284.20	Professional		$138.71	$212.50	$284.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,083.00 / $8,240.00	Facility		$800.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $269.18 / $417.22	Professional		$149.47	$269.18	$417.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.57 / $166.41 / $279.70	Facility		$130.57	$166.41	$279.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.67 / $231.42 / $302.51	Professional		$201.67	$231.42	$302.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.15 / $201.15 / $402.00	Facility		$201.15	$201.15	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $240.12 / $427.76	Professional		$158.87	$240.12	$427.76
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 $193.73 / $254.98 / $459.81	Professional		$193.73	$254.98	$459.81