Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $402.00 / $5,634.00	Facility		$99.24	$402.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $185.53 / $272.47	Professional		$89.85	$185.53	$272.47
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 $80.25 / $94.42 / $130.29	Professional		$80.25	$94.42	$130.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $126.23 / $336.49	Facility		$97.10	$126.23	$336.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.87 / $285.44 / $353.31	Professional		$237.87	$285.44	$353.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $207.93 / $359.55	Professional		$108.10	$207.93	$359.55
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 $199.91 / $266.08 / $451.61	Professional		$199.91	$266.08	$451.61