Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $324.80 / $5,634.00	Facility		$129.63	$324.80	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $270.27 / $375.67	Professional		$128.38	$270.27	$375.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $248.15 / $373.69	Professional		$173.71	$248.15	$373.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $132.66 / $150.08	Facility		$127.56	$132.66	$150.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Professional		$112.26	$112.26	$112.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $761.00 / $1,158.10	Facility		$224.04	$761.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $286.04 / $600.65	Professional		$138.30	$286.04	$600.65
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 $243.83 / $358.30 / $607.50	Professional		$243.83	$358.30	$607.50