Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.54 / $230.32 / $5,634.00	Facility		$96.54	$230.32	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $177.76 / $265.80	Professional		$95.13	$177.76	$265.80
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 $74.19 / $147.63 / $234.18	Professional		$74.19	$147.63	$234.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.44 / $114.97 / $259.85	Facility		$88.44	$114.97	$259.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $220.24 / $287.89	Professional		$191.93	$220.24	$287.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $187.70 / $761.00	Facility		$166.80	$187.70	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $220.99 / $354.86	Professional		$106.95	$220.99	$354.86
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 $186.51 / $241.36 / $419.95	Professional		$186.51	$241.36	$419.95