Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $196.30 / $5,634.00	Facility		$118.40	$196.30	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $159.31 / $249.26	Professional		$118.40	$159.31	$249.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $157.05 / $273.72	Professional		$99.09	$157.05	$273.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $142.34 / $219.51	Facility		$111.68	$142.34	$219.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $183.53 / $239.39	Professional		$159.59	$183.53	$239.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $119.65 / $119.65	Facility		$119.65	$119.65	$119.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $184.22 / $319.19	Professional		$135.09	$184.22	$319.19
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 $147.49 / $185.89 / $297.14	Professional		$147.49	$185.89	$297.14