Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.43 / $186.15 / $5,634.00	Facility		$72.43	$186.15	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $101.19 / $115.51	Professional		$72.43	$101.19	$115.51
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 $73.16 / $91.45 / $129.85	Professional		$73.16	$91.45	$129.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $89.80 / $136.19	Facility		$70.45	$89.80	$136.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $119.75 / $149.69	Professional		$99.79	$119.75	$149.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.05 / $68.05	Facility		$68.05	$68.05	$68.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $134.52 / $231.90	Professional		$89.55	$134.52	$231.90
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 $103.34 / $121.30 / $207.56	Professional		$103.34	$121.30	$207.56