Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $139.27 / $5,634.00	Facility		$90.80	$139.27	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $116.74 / $139.27	Professional		$90.80	$116.74	$139.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $108.72 / $165.24	Professional		$78.22	$108.72	$165.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $134.91 / $198.41	Facility		$93.69	$134.91	$198.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $141.54 / $203.82	Professional		$115.49	$141.54	$203.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $151.25 / $262.64	Professional		$102.30	$151.25	$262.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $147.02 / $244.72	Professional		$117.67	$147.02	$244.72