Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $185.34 / $5,634.00	Facility		$80.80	$185.34	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $113.93 / $185.34	Professional		$80.80	$113.93	$185.34
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 $110.05 / $176.19 / $290.70	Professional		$110.05	$176.19	$290.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $102.44 / $209.59	Facility		$80.38	$102.44	$209.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $173.28 / $226.02	Professional		$150.68	$173.28	$226.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $155.76 / $290.72	Professional		$92.78	$155.76	$290.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $155.41 / $260.26	Professional		$119.58	$155.41	$260.26