Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $645.79 / $5,634.00	Facility		$104.69	$645.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $135.37 / $180.57	Professional		$102.43	$135.37	$180.57
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 $87.74 / $103.32 / $142.58	Professional		$87.74	$103.32	$142.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $133.19 / $195.22	Facility		$102.45	$133.19	$195.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $158.36 / $204.98	Professional		$143.31	$158.36	$204.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $112.28 / $133.10	Facility		$112.28	$112.28	$133.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $171.81 / $246.50	Professional		$125.59	$171.81	$246.50
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 $123.16 / $175.08 / $290.08	Professional		$123.16	$175.08	$290.08