Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.47 / $208.57 / $4,846.00	Facility		$173.47	$208.57	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.47 / $173.47 / $213.08	Professional		$167.47	$173.47	$213.08
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 $206.07 / $283.89 / $391.78	Professional		$206.07	$283.89	$391.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $225.95 / $260.72	Facility		$177.29	$225.95	$260.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $208.57 / $260.72	Professional		$173.81	$208.57	$260.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.55 / $218.55 / $218.55	Facility		$218.55	$218.55	$218.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $255.31 / $474.60	Professional		$200.89	$255.31	$474.60
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 $187.22 / $236.04 / $369.00	Professional		$187.22	$236.04	$369.00