Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.61 / $516.16 / $5,634.00	Facility		$148.61	$516.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $272.00 / $384.42	Professional		$138.36	$272.00	$384.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.25 / $162.25 / $2,501.00	Facility		$162.25	$162.25	$2,501.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $162.25 / $257.74	Professional		$130.83	$162.25	$257.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.19 / $186.15 / $214.79	Facility		$143.19	$186.15	$214.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.42 / $381.78 / $458.13	Professional		$305.42	$381.78	$458.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $337.87 / $676.71	Professional		$175.15	$337.87	$676.71
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $382.36 / $665.54	Professional		$308.76	$382.36	$665.54