Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $113.87 / $4,846.00	Facility		$101.33	$113.87	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $107.73 / $142.82	Professional		$98.40	$107.73	$142.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.06 / $416.12 / $5,221.00	Facility		$279.06	$416.12	$5,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $136.50 / $184.27	Professional		$103.60	$136.50	$184.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $120.50 / $139.04	Facility		$92.69	$120.50	$139.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $111.23 / $139.04	Professional		$92.69	$111.23	$139.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $120.98 / $761.00	Facility		$120.98	$120.98	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $133.44 / $218.93	Professional		$108.45	$133.44	$218.93
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $118.41 / $203.27	Professional		$90.66	$118.41	$203.27