Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $464.82 / $5,634.00	Facility		$138.13	$464.82	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $251.05 / $379.90	Professional		$126.56	$251.05	$379.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $2,501.00	Facility		$165.40	$165.40	$2,501.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $165.40 / $234.86	Professional		$139.30	$165.40	$234.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $169.91 / $196.05	Facility		$130.69	$169.91	$196.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $330.05 / $412.56	Professional		$275.04	$330.05	$412.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $310.39 / $584.00	Professional		$163.31	$310.39	$584.00
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 $292.95 / $367.88 / $643.66	Professional		$292.95	$367.88	$643.66