Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $191.06 / $5,634.00	Facility		$108.39	$191.06	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $152.78 / $215.91	Professional		$105.77	$152.78	$215.91
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 $92.88 / $138.66 / $208.29	Professional		$92.88	$138.66	$208.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $129.44 / $218.40	Facility		$99.57	$129.44	$218.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $191.06 / $238.83	Professional		$159.22	$191.06	$238.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $153.02 / $761.00	Facility		$153.02	$153.02	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $170.72 / $294.83	Professional		$112.67	$170.72	$294.83
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 $144.25 / $186.29 / $352.15	Professional		$144.25	$186.29	$352.15