Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $164.11 / $5,634.00	Facility		$71.23	$164.11	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $136.21 / $197.51	Professional		$71.23	$136.21	$197.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $170.23 / $333.55	Professional		$101.08	$170.23	$333.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $89.71 / $184.59	Facility		$70.39	$89.71	$184.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $153.10 / $200.13	Professional		$133.41	$153.10	$200.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.18 / $114.18 / $114.18	Facility		$114.18	$114.18	$114.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $154.82 / $312.20	Professional		$85.24	$154.82	$312.20
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 $122.24 / $165.52 / $262.89	Professional		$122.24	$165.52	$262.89