Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $241.62 / $5,634.00	Facility		$93.58	$241.62	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $134.85 / $187.88	Professional		$88.91	$134.85	$187.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $3,896.00 / $8,230.00	Facility		$740.96	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $96.53 / $133.21	Professional		$82.05	$96.53	$133.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $116.08 / $201.91	Facility		$89.29	$116.08	$201.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $164.42 / $214.46	Professional		$142.97	$164.42	$214.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $166.10 / $249.62	Professional		$106.83	$166.10	$249.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $185.39 / $315.52	Professional		$134.87	$185.39	$315.52