Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $170.80 / $5,634.00	Facility		$114.91	$170.80	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $149.06 / $208.73	Professional		$109.60	$149.06	$208.73
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 $90.49 / $123.59 / $190.74	Professional		$90.49	$123.59	$190.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $139.66 / $196.55	Facility		$107.43	$139.66	$196.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $163.68 / $213.50	Professional		$142.33	$163.68	$213.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.38 / $761.00	Facility		$134.38	$134.38	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $175.08 / $285.44	Professional		$120.38	$175.08	$285.44
United Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $2,846.00 / $4,296.00	Facility		$483.00	$2,846.00	$4,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $166.90 / $282.87	Professional		$132.03	$166.90	$282.87