Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.24 / $221.17 / $5,634.00	Facility		$124.24	$221.17	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $165.90 / $256.22	Professional		$121.30	$165.90	$256.22
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 $114.35 / $149.85 / $232.71	Professional		$114.35	$149.85	$232.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.52 / $148.88 / $255.76	Facility		$114.52	$148.88	$255.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $221.17 / $276.47	Professional		$184.31	$221.17	$276.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $761.00	Facility		$213.62	$213.62	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $199.42 / $333.11	Professional		$135.85	$199.42	$333.11
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 $161.74 / $201.64 / $356.51	Professional		$161.74	$201.64	$356.51