Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $177.49 / $5,634.00	Facility		$66.70	$177.49	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $103.24 / $162.41	Professional		$66.70	$103.24	$162.41
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 $91.64 / $154.32 / $274.33	Professional		$91.64	$154.32	$274.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $84.46 / $200.26	Facility		$66.27	$84.46	$200.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $173.16 / $216.45	Professional		$144.30	$173.16	$216.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.62 / $142.62 / $142.62	Facility		$142.62	$142.62	$142.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $143.30 / $274.35	Professional		$76.83	$143.30	$274.35
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 $110.38 / $149.08 / $263.18	Professional		$110.38	$149.08	$263.18